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| A PICTURE IS WORTH A THOUSAND WORDS |
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| Year : 2013 | Volume
: 14
| Issue : 1 | Page : 36-37 |
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Incidental detection of asymptomatic intrapericardial calcified hydatid cyst
Nagaraja Moorthy1, Sudeep Kumar1, Hira Lal2, Pravin K Goel1
1 Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
2 Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India
| Date of Web Publication | 13-Feb-2013 |
Correspondence Address:
Pravin K Goel
Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow 226014
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/1995-705X.107120
How to cite this article:
Moorthy N, Kumar S, Lal H, Goel PK. Incidental detection of asymptomatic intrapericardial calcified hydatid cyst. Heart Views 2013;14:36-7 |
Cardiac hydatid cyst is a rare condition, accounting for only 0.5-2% of all hydatid infestations. [1],[2] Fluoroscopy, coronary angiography, left ventricular angiography and CT scan of a 67-year-old diabetic, hypertensive and chronic stable angina patient showed incidental calcified cyst attached to heart [[Figure 1], Video 1]. On performing left ventricular (LV) angiography, a mass was found attached to the posterior aspect of left ventricle at the atrioventricular groove through a peduncle [[Figure 2], Video 2]. Later, 64-slice multidetector computed tomography showed a calcified cyst with multiple cystic locules within it, confirming the diagnosis of calcified hydatid cyst [Figure 3] and [Figure 4]. The cyst was intrapericardial in location with attachment to the atrioventricular groove near the crux. He was advised coronary artery bypass graft surgery with excision of the cyst. | Figure 1: Fluroscopic image in right anterior oblique projection showing calcified mass attached to posterior aspect of heart. Also note stent in atrioventricular groove
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 | Figure 2: Left ventricular (LV) angiography in RAO projection showing normal size LV with calcified mass attached to LV at posterior atrioventricular groove through a peduncle
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 | Figure 3: 64-slice multidetector computed tomography showing calcified cyst attached to crux and also multiple cystic spaces within it
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 | Figure 4: 64-slice multidetector computed tomography volume rendered image showing calcified cyst attached to posterior atrioventricular groove near crux
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 References | |  |
| 1. | Kaplan M, Demirtas M, Cimen S, Ozler A. Cardiac hydatid cysts with intracavitary expansion. Ann Thorac Surg 2001;71:1587-90. 
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| 2. | De Paulis R, Seddio F, Colagrande L, Polisca P, Chiariello L. Cardiac echinococcosis causing coronary artery disease. Ann Thorac Surg 1999;67:1791-3.
[PUBMED] |
[Figure 1], [Figure 2], [Figure 3], [Figure 4]
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