Bilateral Pulmonary Artery, Inferior Vena Cava, and Cardiac Echinococcosis: A Rare Presentation of Zoonotic Diseases

Document Type : Case Report


1 Pulmonologist: Lung Diseases Research Center , Mashhad University of Medical Sciences, Mashhad, Iran

2 Cardiac Surgeon,Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Mashhad,Iran

3 Cardiac Surgeon, Cardiac Surgery, Department of Cardiac Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad,Iran


Introduction:Cystic hydatidosis is a zoonoticdisease thatis mostly observedin the Mediterranean region. This infectious disease may present throughdifferent manifestations that may delay the diagnosis and cause various complications for the patients. Most of the cases are usually diagnosed by imaging studies and the related management could be medical or surgical depending on the patient’s clinical condition and disease severity.
Case presentation:In the present report, we present the case ofa 50-year-old female patient with a positive history of liver and splenichydatid cysts with hemoptysis and dyspnea. The diagnosis of pulmonary and cardiac involvement wasmade usingcomputed tomography angiography. Despite the immediate surgery, the patient died from hemorrhage after 3 days.
Conclusion:Themanagement of pulmonary embolism due to Echinococcus highly depends on the clinical judgment and the outcomes are subject to the history and extent of the involvement.


1.         Rokni M. Echinococcosis/hydatidosis in Iran. Iran J Parasitol. 2009;4:1-16.
2.         Jaafari A, Nedia F, Boukhriss B, Ehlem B, Moez T, Habib BM. Fatal hydatid pulmonary embolism. Report of two cases. Ann Cardiol Angeiol. 2009;58:125-8.
3.         Yuan Z, Maihesuti M, Wenya L, Cheng Z, Biyemu N, Haitao W. Rare reason for pulmonary embolism: one case of pulmonary hydatid cyst and review of the literature. J Thromb Thrombolysis. 2015;40:126-9.
4.         Akgun V, Battal B, Karaman B, Ors F, Deniz O, Daku A. Pulmonary artery embolism due to a ruptured hepatic hydatid cyst: clinical and radiologic imaging findings. Emerg Radiol. 2011;18:437-9.
5.         Poyraz N, Demirbaş S, Korkmaz C, Uzun K. Pulmonary embolism originating from a hepatic hydatid cyst ruptured into the inferior vena cava: CT and MRI findings. Case Rep Radiol. 2016;2016:3589812.
6.         Ghassemof H, Esfehani RJ. Hydatid disease presented as acute abdomen, an interesting incidental finding: a case report. Arch Clin Infect Dis. 2015;10:e29632.
7.         Serraj M, Smahi M, Kamaoui I, El Houari A, Sahnoune F, Ouadnouni Y, et al. Hydatic pulmonary embolism: a rare complication of hepatic hydatid cyst. Rev Mal Respir. 2013;30:215-21.