Image in cardiology
Mediastinal hydatid cyst compressing the pulmonary artery and atrial septal defect: A rare association
Cisto hidático do mediastino comprimindo a artéria pulmonar e defeito septal auricular – uma associação rara
Arif Sunera, Sedat Koroglub,
, Musa Cakicia, Mustafa Polata, Mustafa Cetina, Bulent Petikc, Recai Kayad, Hakan Kayaa
Autor para correspondência
a Adiyaman University, Education and Research Hospital, Cardiology Clinic, Adiyaman, Turkey
b Afsin State Hospital, Cardiology Clinic, Kahramanmaras, Turkey
c Adiyaman University, Education and Research Hospital, Radiology Clinic, Adiyaman, Turkey
d Adiyaman University, Education and Research Hospital, Anesthesiology Clinic, Adiyaman, Turkey
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"identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Adiyaman University, Education and Research Hospital, Cardiology Clinic, Adiyaman, Turkey" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Afsin State Hospital, Cardiology Clinic, Kahramanmaras, Turkey" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Adiyaman University, Education and Research Hospital, Radiology Clinic, Adiyaman, Turkey" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Adiyaman University, Education and Research Hospital, Anesthesiology Clinic, Adiyaman, Turkey" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Cisto hidático do mediastino comprimindo a artéria pulmonar e defeito septal auricular – uma associação rara" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 698 "Ancho" => 950 "Tamanyo" => 52216 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Cardiac magnetic resonance imaging showing external compression of pulmonary artery. Black asterisks indicate hydatid cysts.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 21-year-old woman was admitted to our clinic with dyspnea. Her medical history was unremarkable. Right bundle branch block was identified on 12-lead ECG and mediastinal enlargement on the chest X-ray. Transthoracic and transesophageal echocardiographic examination showed a lobulated cystic image in the left atrium and secundum-type atrial septal defect (<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1 and 2</a>). Additionally, in short-axis view a mass was visualized invading the pulmonary artery, and continuous wave Doppler of the pulmonary artery revealed a maximum gradient of 40 mmHg. A detailed examination with cardiac magnetic resonance imaging demonstrated a multicystic mass in the mediastinum compressing the main pulmonary artery, predominantly the left branch (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>). The patient was diagnosed with secundum atrial septal defect and mediastinal hydatid cyst on the basis of serologic tests and detailed history. Surgical therapy was offered and she asked for time to think. Medication with albendazole was started, but she was then lost to follow-up.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Hydatid cyst is a parasitic disease caused by <span class="elsevierStyleItalic">Echinococcus granulosus</span>. The predominantly affected organs are the liver and the lung; mediastinal location is very rare.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> The preferred method for management is surgery but adjunctive albendazole therapy is the subject of debate.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article. The corresponding author is in possession of this document.</p></span></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0025" "titulo" => "Conflicts of interest" ] 2 => array:1 [ "titulo" => "Reference" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2013-11-06" "fechaAceptado" => "2013-11-28" "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 804 "Ancho" => 2334 "Tamanyo" => 159422 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Transesophageal echocardiographic views showing (A) lobulated cyst and (B) atrial septal defect. RA: right atrium; RV: right ventricle.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 516 "Ancho" => 1500 "Tamanyo" => 118972 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiographic views showing (A) multiple cystic mass compressing the pulmonary artery and (B) continuous wave Doppler of the pulmonary artery with maximum gradient of 40 mmHg. PA: pulmonary artery.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 698 "Ancho" => 950 "Tamanyo" => 52216 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Cardiac magnetic resonance imaging showing external compression of pulmonary artery. Black asterisks indicate hydatid cysts.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "Reference" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:1 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A novel terminology and dissemination theory for a subgroup of intrathoracic extrapulmonary hydatid cysts" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "T. Isitmangil" 1 => "A. Toker" 2 => "S. Sebit" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Med Hypotheses" "fecha" => "2003" "volumen" => "61" "paginaInicial" => "68" "paginaFinal" => "71" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12781644" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/08702551/0000003300000005/v1_201406210043/S0870255114001085/v1_201406210043/en/main.assets" "Apartado" => array:4 [ "identificador" => "357" "tipo" => "SECCION" "pt" => array:2 [ "titulo" => "Imagens em cardiologia" "idiomaDefecto" => true ] "idiomaDefecto" => "pt" ] "PDF" => "https://static.elsevier.es/multimedia/08702551/0000003300000005/v1_201406210043/S0870255114001085/v1_201406210043/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255114001085?idApp=UINPBA00004E" ]
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| 2021 Agosto | 28 | 24 | 52 |
| 2021 Julho | 29 | 32 | 61 |
| 2021 Junho | 26 | 18 | 44 |
| 2021 Maio | 22 | 27 | 49 |
| 2021 Abril | 31 | 45 | 76 |
| 2021 Maro | 46 | 10 | 56 |
| 2021 Fevereiro | 45 | 8 | 53 |
| 2021 Janeiro | 30 | 17 | 47 |
| 2020 Dezembro | 32 | 10 | 42 |
| 2020 Novembro | 26 | 7 | 33 |
| 2020 Outubro | 21 | 4 | 25 |
| 2020 Setembro | 48 | 20 | 68 |
| 2020 Agosto | 15 | 11 | 26 |
| 2020 Julho | 28 | 8 | 36 |
| 2020 Junho | 18 | 9 | 27 |
| 2020 Maio | 24 | 3 | 27 |
| 2020 Abril | 28 | 7 | 35 |
| 2020 Maro | 25 | 6 | 31 |
| 2020 Fevereiro | 58 | 14 | 72 |
| 2020 Janeiro | 19 | 7 | 26 |
| 2019 Dezembro | 35 | 6 | 41 |
| 2019 Novembro | 22 | 2 | 24 |
| 2019 Outubro | 18 | 5 | 23 |
| 2019 Setembro | 13 | 8 | 21 |
| 2019 Agosto | 21 | 3 | 24 |
| 2019 Julho | 32 | 10 | 42 |
| 2019 Junho | 26 | 8 | 34 |
| 2019 Maio | 38 | 12 | 50 |
| 2019 Abril | 18 | 10 | 28 |
| 2019 Maro | 45 | 10 | 55 |
| 2019 Fevereiro | 53 | 10 | 63 |
| 2019 Janeiro | 52 | 6 | 58 |
| 2018 Dezembro | 64 | 11 | 75 |
| 2018 Novembro | 63 | 20 | 83 |
| 2018 Outubro | 92 | 12 | 104 |
| 2018 Setembro | 36 | 10 | 46 |
| 2018 Agosto | 40 | 14 | 54 |
| 2018 Julho | 27 | 8 | 35 |
| 2018 Junho | 30 | 5 | 35 |
| 2018 Maio | 38 | 9 | 47 |
| 2018 Abril | 48 | 6 | 54 |
| 2018 Maro | 53 | 12 | 65 |
| 2018 Fevereiro | 19 | 3 | 22 |
| 2018 Janeiro | 14 | 7 | 21 |
| 2017 Dezembro | 51 | 12 | 63 |
| 2017 Novembro | 26 | 7 | 33 |
| 2017 Outubro | 20 | 13 | 33 |
| 2017 Setembro | 28 | 11 | 39 |
| 2017 Agosto | 31 | 11 | 42 |
| 2017 Julho | 24 | 6 | 30 |
| 2017 Junho | 31 | 14 | 45 |
| 2017 Maio | 26 | 6 | 32 |
| 2017 Abril | 27 | 5 | 32 |
| 2017 Maro | 25 | 7 | 32 |
| 2017 Fevereiro | 30 | 4 | 34 |
| 2017 Janeiro | 23 | 4 | 27 |
| 2016 Dezembro | 16 | 5 | 21 |
| 2016 Novembro | 11 | 5 | 16 |
| 2016 Outubro | 15 | 8 | 23 |
| 2016 Setembro | 17 | 4 | 21 |
| 2016 Agosto | 18 | 4 | 22 |
| 2016 Julho | 8 | 3 | 11 |
| 2016 Junho | 3 | 4 | 7 |
| 2016 Maio | 11 | 0 | 11 |
| 2016 Abril | 27 | 2 | 29 |
| 2016 Maro | 29 | 4 | 33 |
| 2016 Fevereiro | 37 | 16 | 53 |
| 2016 Janeiro | 37 | 8 | 45 |
| 2015 Dezembro | 35 | 5 | 40 |
| 2015 Novembro | 33 | 7 | 40 |
| 2015 Outubro | 27 | 4 | 31 |
| 2015 Setembro | 27 | 12 | 39 |
| 2015 Agosto | 37 | 6 | 43 |
| 2015 Julho | 26 | 7 | 33 |
| 2015 Junho | 17 | 4 | 21 |
| 2015 Maio | 21 | 11 | 32 |
| 2015 Abril | 27 | 10 | 37 |
| 2015 Maro | 17 | 2 | 19 |
| 2015 Fevereiro | 25 | 6 | 31 |
| 2015 Janeiro | 26 | 10 | 36 |
| 2014 Dezembro | 20 | 9 | 29 |
| 2014 Novembro | 31 | 9 | 40 |
| 2014 Outubro | 23 | 10 | 33 |
| 2014 Setembro | 27 | 10 | 37 |
| 2014 Agosto | 29 | 10 | 39 |
| 2014 Julho | 65 | 33 | 98 |
| 2014 Junho | 12 | 13 | 25 |
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