Year : 2011  |  Volume : 14  |  Issue : 1  |  Page : 58--59

Computerized tomographic coronary angiography in diagnostics of cardiac echinococcus


Dimos Karangelis, Georgios I Tagarakis, Angeliki Tsantsaridou, Nikolaos Tsilimingas 
 Department of Cardiovascular and Thoracic Surgery, University Hospital of Thessaly, Larissa, Greece

Correspondence Address:
Dimos Karangelis
Georgiou Rika 4, Larissa
Greece




How to cite this article:
Karangelis D, Tagarakis GI, Tsantsaridou A, Tsilimingas N. Computerized tomographic coronary angiography in diagnostics of cardiac echinococcus.Ann Card Anaesth 2011;14:58-59


How to cite this URL:
Karangelis D, Tagarakis GI, Tsantsaridou A, Tsilimingas N. Computerized tomographic coronary angiography in diagnostics of cardiac echinococcus. Ann Card Anaesth [serial online] 2011 [cited 2021 Dec 4 ];14:58-59
Available from: https://www.annals.in/text.asp?2011/14/1/58/74403


Full Text

Cardiac localization of echinococcus, although quite rare, is a potentially serious complication of hydatid disease. [1,2] Here, we present a unique case of a 35-year-old Greek female patient with a 6-month anamnesis of angina pectoris and rhythm disturbances on electrocrdiogram, without cardiac enzymes mobilization. Plain chest X-ray showed no pathologies. A coronary computerized tomographic (CT) angiography revealed an enormous cyst (approximately 15 cm in diameter) [Figure 1] and [Figure 2]. The patient was also submitted to transthoracic echocardiography, which revealed a cystic formation compressing right cardiac cavities [Figure 3]. The advantages of CT angiography over echocardiography can be summed up to the following: (i) it offers better visualization of the structure and (ii) it provides crucial information regarding the status of the coronary arteries which is particularly important prior to a cardiothoracic operation, especially if the procedure is performed on attendance of extracorporeal circulation. The patient underwent a median sternotomy and a complete enucleation of the cyst was performed without the need for cardiopulmonary bypass. The serology for echinococcus granulosus antibody was positive and confirmed the diagnosis.{Figure 1}{Figure 2}{Figure 3}

References

1Kelle S, Kφhler U, Thouet T, Fleck E, Nagel E. Cardiac involvement of Echinococcus granulosus evaluated by multi-contrast CMR imaging. Int J Cardiol 2009;131:e59-60.
2Kopp CW, Binder T, Grimm M, Merl O, Thalhammer F, Ullrich R, et al. Images in cardiovascular medicine. Left ventricular echinococcosis with peripheral embolization. Circulation 2002;106:1741-2.