PT  - JOURNAL ARTICLE
AU  - V Gilsanz
AU  - C Campo
AU  - R Cue
AU  - J Estella
AU  - R V Estrada
AU  - C Perez-oteiza
AU  - G Rabago
AU  - J L Rebollar
AU  - P Zarco
TI  - Recurrent pulmonary embolism due to hydatid disease of heart. Study of 3 cases, one with intermittent tricuspid valve obstruction (atrial pseudomyxoma).
AID  - 10.1136/hrt.39.5.553
DP  - 1977 May 01
TA  - British Heart Journal
PG  - 553--558
VI  - 39
IP  - 5
4099  - http://heart.bmj.com/content/39/5/553.short
4100  - http://heart.bmj.com/content/39/5/553.full
SO  - Heart1977 May 01; 39
AB  - Three cases of pulmonary hypertension caused by hydatid emboli from the right side of the heart are described; cardiac catheterisation was performed in 2. One case was confirmed at operation and 2 at necropsy. The pulmonary emboli were caused by hydatid vesicles in all 3 cases and in none was there pulmonary thrombosis; free scolices were found in the pulmonary alveoli in 2. In 1 patient with repeated syncopal attacks there was a pedunculated cyst in the right atrium which was though to have intermittently obstructed the tricuspid valve. Gamma radiography, angiocardiography, and necropsy suggested a mechanical cause for the pulmonary hypertenion with no vasoconstrictive element. The surgical patient was alive and well 18 months later.