Severe pulmonary hypertension due to chronic echinococcal pulmonary emboli treated with targeted pulmonary vascular therapy and hepatic resection.
Hydatid disease (human echinococcosis) is a zoonotic infection caused by larval forms (metacestodes) of the genus Echinococcus. Although pulmonary hypertension (PH) due to hydatid disease has been described, it is quite rare. We report a patient with chronic echinococcal embolic PH in whom treatment with novel PH therapies permitted successful resection of the hepatic cyst with a good outcome.
Bulman
William
W
Department of Medicine, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA.
Coyle
Christina M
CM
Brentjens
Tricia E
TE
Horn
Evelyn M
EM
Dickstein
Marc L
ML
Wilt
Jessie S
JS
Emond
Jean
J
Kawut
Steven M
SM
D000328:Adult; D000959:Antihypertensive Agents / Q000627:therapeutic use; D000077300:Bosentan; D002908:Chronic Disease; D004444:Echinococcosis, Hepatic / Q000150:complications / Q000601:surgery; D004445:Echinococcosis, Pulmonary / Q000150:complications*; D011464:Epoprostenol / Q000627:therapeutic use; D006498:Hepatectomy; D006801:Humans; D006976:Hypertension, Pulmonary / Q000188:drug therapy* / Q000209:etiology*; D008297:Male; D011651:Pulmonary Artery / Q000469:parasitology / Q000473:pathology; D011655:Pulmonary Embolism / Q000150:complications*; D013449:Sulfonamides / Q000627:therapeutic use; D020775:Thoracic Surgery, Video-Assisted; D014682:Vena Cava, Inferior / Q000601:surgery
D000959:Antihypertensive Agents; D013449:Sulfonamides; D011464:Epoprostenol; D000077300:Bosentan