Severe pulmonary hypertension due to chronic echinococcal pulmonary emboli treated with targeted pulmonary vascular therapy and hepatic resection

Chest. 2007 Oct;132(4):1356-8. doi: 10.1378/chest.07-0111.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antihypertensive Agents / therapeutic use
  • Bosentan
  • Chronic Disease
  • Echinococcosis, Hepatic / complications
  • Echinococcosis, Hepatic / surgery
  • Echinococcosis, Pulmonary / complications*
  • Epoprostenol / therapeutic use
  • Hepatectomy
  • Humans
  • Hypertension, Pulmonary / drug therapy*
  • Hypertension, Pulmonary / etiology*
  • Male
  • Pulmonary Artery / parasitology
  • Pulmonary Artery / pathology
  • Pulmonary Embolism / complications*
  • Sulfonamides / therapeutic use
  • Thoracic Surgery, Video-Assisted
  • Vena Cava, Inferior / surgery

Substances

  • Antihypertensive Agents
  • Sulfonamides
  • Epoprostenol
  • Bosentan