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Massive pulmonary embolism due to hydatid cysts: A rare postoperative complication of liver echinococcosis

Authors
  • Kotoulas, Sotirios1
  • Grapatsas, Konstantinos1, 2, 3
  • Leivaditis, Vasileios4
  • Panagiotou, Ioannis1, 2
  • Spiridakis, Emmanouil1
  • Le, Uyen-Thao3
  • Osei-Agyemang, Thomas3
  • Kotoulas, Christophoros1, 2
  • 1 Cardiothoracic Surgery Department, “Iaso” General Hospital, Athens, Greece
  • 2 Cardiac Surgery Department, 401 General Military Hospital of Athens, Athens, Greece
  • 3 Department of Thoracic Surgery, Medical Center-University of Freiburg, Faculty of Medicine, Germany
  • 4 Department of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, Kaiserslautern, Germany
Type
Published Article
Journal
Respiratory Medicine Case Reports
Publisher
Elsevier
Publication Date
Apr 20, 2020
Volume
30
Identifiers
DOI: 10.1016/j.rmcr.2020.101054
PMID: 32373452
PMCID: PMC7193314
Source
PubMed Central
Keywords
License
Unknown

Abstract

Pulmonary embolism due to hydatid cysts is a very rare pathology. A 55-year-old male was transferred to our hospital due to respiratory failure, as a result of left pulmonary artery obstruction by cystic lesions. His medical history included multiple operations for abdominal echinococcosis. He was urgently operated for the extraction of the proximal hydatid cysts with the use of cardiopulmonary bypass with an excellent outcome and six months later through a right thoracotomy for the distal right pulmonary artery, the cysts were extracted. Meanwhile, he followed additional medication treatment with albendazole, preoperatively as well as postoperatively. Today, 5 years later, he has no evidence of hydatidosis recurrence.

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