Recurrent pulmonary microemboli secondary to primary cardiac hydatidosis.
Primary cardiac hydatid cysts are rarely diagnosed and seldom rupture to lungs via pulmonary vein resulting in multifocal cystic lesions. We report a rare instance of an interventricular hydatid cyst. A 19-year-old patient was admitted with dyspnea and multiple homogenous opacities with different sizes in his chest X-ray and contrast enhanced thorax computed tomography. We considered recurrent pulmonary microemboli, although neither systemic embolisation nor intravascular cyst of pulmonary arteries was detected. Due to extensive distribution of the pulmonary cysts, only the cardiac cyst was taken surgically. The patient remains in our care without any pulmonary improvement despite appropriate medical treatment.
Ozturk
Ebru
E
Ozel Dünya Hastanesi Radyoloji Bolumu, Sanliurfa, Turkey.
Ozturk
Adil
A
Zeyrek
Fadile
F
Demirbag
Recep
R
Temamogullari
Ali Vahip
AV
D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000818:Animals; D000923:Anticestodal Agents / Q000627:therapeutic use; D004417:Dyspnea; D004443:Echinococcosis / Q000150:complications* / Q000188:drug therapy; D004445:Echinococcosis, Pulmonary / Q000150:complications* / Q000188:drug therapy; D006331:Heart Diseases / Q000150:complications* / Q000469:parasitology* / Q000517:prevention & control; D006801:Humans; D008297:Male; D011655:Pulmonary Embolism / Q000469:parasitology* / Q000503:physiopathology / Q000517:prevention & control; D012008:Recurrence
D000923:Anticestodal Agents; D015766:Albendazole