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Eur J Cardiothorac Surg 2006;30:805
© 2006 Elsevier Science NL


Images in Cardio-thoracic surgery

Intra-pericardial hydatid cyst seen by dynamic computed tomography

Gholam-Reza Omrani, Faranak Kargar, Mathias H. Aazami*

Shahid Rejaie Heart Center, Cardiac Surgery Department, Park Melat, Tehran, Iran

Received 1 April 2006; received in revised form 20 July 2006; accepted 20 July 2006.

* Corresponding author. Tel.: +98 912 29 74 380. (Email: mathias.aazami{at}laposte.net).

Key Words: Hydatid cyst • Pericardium • Computed tomography

A 26-year-old sheep farmer patient complaining of progressive dyspnea with established diagnosis of intracardiac echinococosis was referred for surgical cyst removal. A dynamic chest CT-scan revealed the cyst was located intrapericardially, compressing left chambers and great vessels (Fig. 1 ). The patient underwent elective surgery for cyst removal by a left anterolateral thoracotomy approach (Fig. 2 ).


Figure 1
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Fig. 1. (A) Chest X-ray: Posteroanterior view shows cardiomegaly and bulging along left heart border. (B and C) Chest dynamic computed tomography with day-enhancement: Sagittal and coronal view revealing the intra-pericardial well-rimed mother cyst including multiple daughter cysts, note the mass effect on the left chambers and left pulmonary artery.

 

Figure 2
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Fig. 2. (A) Operative view of the hydatid cyst after opening the pericardium. (B) Removing a daughter cyst. (C) Mother cyst being completely evacuated.

 





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