2013
DOI: 10.1007/s10140-013-1130-z
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Hydatid cyst embolization to the pulmonary artery: CT and MR features

Abstract: Hydatid cyst embolization to the pulmonary arteries is rare especially in the Western regions of the world. However, it can be mistaken for pulmonary embolism based on the similar clinical manifestations of cough, hemoptysis, and acute onset of chest pain. We report a case of a 32-year-old man presenting with these symptoms who was initially suspected of having pulmonary embolism. Subsequent imaging with CT and MR revealed hepatic hydatid cyst embolization to the pulmonary arteries. The significance of this ca… Show more

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Cited by 13 publications
(17 citation statements)
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“…They tend to expand inside the right ventricular cavity and in the subendocardial space and are more prone to rupture, which can lead to pulmonary embolism, anaphylaxis and sudden death. Left ventricular hydatid cysts grow as subepicardial masses and rarely rupture in the pericardial space [19,20] .The endocardium is easily invaded by hydatid cyst for the obvious reason that endocardium does not give inflammatory reaction like the pericardium [21] . Septal cyst can cause atrioventricular (AV) block by conduction disturbance [22] .…”
Section: Cardiac Hydatid Cystmentioning
confidence: 99%
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“…They tend to expand inside the right ventricular cavity and in the subendocardial space and are more prone to rupture, which can lead to pulmonary embolism, anaphylaxis and sudden death. Left ventricular hydatid cysts grow as subepicardial masses and rarely rupture in the pericardial space [19,20] .The endocardium is easily invaded by hydatid cyst for the obvious reason that endocardium does not give inflammatory reaction like the pericardium [21] . Septal cyst can cause atrioventricular (AV) block by conduction disturbance [22] .…”
Section: Cardiac Hydatid Cystmentioning
confidence: 99%
“…Generally, the symptoms of the hydatid cyst only occur when the cyst expands. Patient symptoms can include allergic reactions [24] , heart failure [25] , exertional angina [26] , arrhythmias [27] , heart block [20,28] , cardiac tamponade [21] and sudden death [29] .…”
Section: Cardiac Hydatid Cystmentioning
confidence: 99%
“…Finally, the progression of the disease may cause symptoms like dyspnea, hemoptysis, and chest pain, and anaphylactic shock may develop due to leakage of the hydatid cyst fluid. Early diagnosis with imaging studies and treatment are the main aspects of preventing complications [ 6 8 ].…”
Section: Discussionmentioning
confidence: 99%
“…Peripheral calcifications and membranes can also be seen (8,9). Contrast-enhanced images may demonstrate the lesion more clearly; however, in patients with supporting clinical findings and history, intra-arterial HC can also be diagnosed with non-contrast-enhanced MDCT.…”
Section: Diagnosismentioning
confidence: 99%
“…The treatment of pulmonary artery HC consists of the surgical removal of cysts by embolectomy with/without enucleation and subsequently, albendazole, particularly if the lesion is localized (6,9,10). However, rupture of the cyst may result in disease dissemination or anaphylactic shock (1,4,10).…”
Section: Diagnosismentioning
confidence: 99%