In this study we reported one case of combined procedure for coronary artery bypass grafting and
excision of right pulmonary hydatid cyst. Concerns of possible hydatid systemic dissemination as a
result of direct vascular breaches are raised. We suggest that avoidance of cardiopulmonary bypass
(CPB) if that possible is beneficial for the treatment. If not possible then the excision and
clearance of the hydatid cyst should be done in the first place before going on bypass.
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