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Eur J Cardiothorac Surg 2002;22:462-464
© 2002 Elsevier Science NL


Case report

Acute pulmonary embolism due to the rupture of a right ventricle hydatic cyst

Hatem Lahdhili*, Sabeur Hachicha, Mohamed Ziadi, Habib Thameur

Department of Cardiovascular Surgery, Military Hospital, 1008 Montfleury, Tunis, Tunisia

Received 4 February 2002; received in revised form 29 April 2002; accepted 2 May 2002.

* Corresponding author. Fax: +216-1-71391099
e-mail: ziadi_m{at}yahoo.fr

Hydatid pulmonary embolism is an uncommon condition resulting from the rupture of a hydatid heart cyst or the opening of a visceral hydatid cyst (often in the liver) into the venous circulation. We report a case of hydatid pulmonary embolism following rupture of a hydatic cyst in the right ventricle. Pulmonary angiography showed right pulmonary occlusion. Echocardiography, computed tomography scan and magnetic resonance imaging showed images suggesting a hydatid cyst. The patient underwent sternotomy and cardiopulmonary bypass in order to treat the heart cyst and remove the hydatic pulmonary obstruction. A concomitant lung hydatid cyst was extirpated.

Key Words: Echinococcosis • Hydatidosis • Pulmonary embolism




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Copyright © 2002 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.