Primary Hydatid Cyst of the Thoracic Aorta Revealed by Peripheral Arterial Embolism

Ann Thorac Surg. 2018 Nov;106(5):e257-e259. doi: 10.1016/j.athoracsur.2018.02.070. Epub 2018 Mar 31.

Abstract

Primitive aortic hydatidosis is exceptional. We report the case of a 55-year-old woman who had pain in her left lower limb for a week. A computed tomographic angiogram showed a multivesicular and fluid-density mass intimately contiguous to the descending thoracic aorta seen on an endoluminal subtraction image and hydatid cysts in the spleen. The surgical approach was through a thoracophrenolombotomy with right femorofemoral bypass. Complete resection of the destroyed aortic portion was performed, and continuity was restored by an aortoaortic bypass using a Dacron (INVISTA, Kennesaw, Georgia) prosthesis. Hydatid fragments were evacuated after thrombectomy of the left iliac artery. The surgical procedure was completed by a splenectomy. Postoperative follow-up was uneventful. After 6 months, computed tomographic angiography showed a patent bypass.

Publication types

  • Case Reports

MeSH terms

  • Aorta, Thoracic / diagnostic imaging*
  • Aorta, Thoracic / pathology
  • Computed Tomography Angiography / methods
  • Diagnosis, Differential
  • Echinococcosis / diagnosis
  • Echinococcosis / diagnostic imaging*
  • Echinococcosis / surgery
  • Female
  • Humans
  • Middle Aged
  • Rare Diseases
  • Risk Assessment
  • Splenic Diseases / diagnostic imaging*
  • Splenic Diseases / surgery
  • Thrombectomy / methods
  • Thromboembolism / diagnosis
  • Thromboembolism / diagnostic imaging*
  • Thromboembolism / surgery
  • Treatment Outcome
  • Vascular Surgical Procedures / methods*