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Ann Thorac Surg 1999;67:1791-1793
© 1999 The Society of Thoracic Surgeons

Case Reports

Cardiac echinococcosis causing coronary artery disease

Ruggero De Paulis, MDa, Francesco Seddio, MDa, Luisa Colagrande, MDa, Patrizio Polisca, MDa, Luigi Chiariello, MDa

a Division of Cardiac Surgery, Tor Vergata University of Rome, Rome, Italy

Accepted for publication November 10, 1998.

Address reprint requests to Dr De Paulis, Cattedra di Cardiochirurgia, Università di Roma Tor Vergata, European Hospital, Via Portuense 700, 00149 Rome, Italy
e-mail: depauli{at}tin.it

We report a case of cardiac echinococcosis in a patient who had sustained an acute myocardial infarction 1 month previously. The coronary angiographic study revealed an isolated complete intrinsic obstruction of the left anterior descending coronary artery in the area of the cyst. The cyst was surgically removed. Coronary artery bypass grafting was not performed because of distal myocardial scarring. Coronary arteriography should routinely be performed in all patients with cardiac echinococcosis.




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