Bakir Ihsan, Enc Yavuz, Cicek Sertac
Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, Department of Cardiovascular Surgery, Istanbul, Turkey.
Heart Surg Forum. 2004 Jan 1;7(1):13-15. doi: 10.1532/hsf.954.
Abstract Pulmonary artery involvement of hydatid disease caused by the Echinococcus granulosus parasite is an uncommon condition resulting from the opening of a visceral hydatid cyst into the venous circulation or the rupture of a cardiac hydatid cyst. We report a case of a 31-year-old woman with a hydatid cyst located in the right pulmonary artery. Clinical presentation was fatigue, cough, and dyspnea. Diagnosis was made by chest x-ray, computed tomography, and magnetic resonance imaging. The cyst was extracted under total circulatory arrest. Diagnosis and surgical therapy of the intraluminal pulmonary arterial hydatid cyst prevented possible occurrence of severe complications, such as cyst rupture, anaphylactic shock, and sudden death.
摘要 由细粒棘球绦虫寄生虫引起的包虫病累及肺动脉是一种罕见情况，是由于内脏包虫囊肿向静脉循环开放或心脏包虫囊肿破裂所致。我们报告一例31岁女性，其右肺动脉有一个包虫囊肿。临床表现为乏力、咳嗽和呼吸困难。通过胸部X线、计算机断层扫描和磁共振成像进行诊断。在全循环阻断下摘除囊肿。腔内肺动脉包虫囊肿的诊断和手术治疗预防了严重并发症如囊肿破裂、过敏性休克和猝死的可能发生。
