PMC7452463_01
(a) Coronary angiogram showing complete right coronary artery occlusion. (b) Trans-thoracic echocardiogram with a tissue like mass seen in the lateral annulus of the tricuspid valve measuring 41 by 29 mm with an area of calcification in the center.
gr1.jpg
PMC7452463_01_gr1.jpg
fig0005
Coronary angiography showed complete occlusion of the RCA stent, in addition to progression of coronary artery disease to involve three additional vessels including the left main trunk (Fig. 1A). Transthoracic echocardiography showed evidence of a 41 by 29 mm epicardial mass near the lateral annulus of the tricuspid valve (Fig. 1B).
Sagittal (a) and transverse (b) magnetic resonance images of the heart showing a well-defined epicardial cystic lesion with a lobulated outline and thin internal septations.
gr2.jpg
PMC7452463_01_gr2.jpg
fig0010
Cardiac magnetic resonance imaging (MRI) showed the mass to be of cystic nature encasing the proximal to distal stented segments of the RCA (Fig. 2A and B).