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Severe Pulmonary Hypertension Due to Chronic Echinococcal Pulmonary Emboli Treated With Targeted Pulmonary Vascular Therapy and Hepatic Resection*

William Bulman, MD; Christina M. Coyle, MD, MS; Tricia E. Brentjens, MD; Evelyn M. Horn, MD; Marc L. Dickstein, MD; Jessie S. Wilt, MD; Jean Emond, MD; Steven M. Kawut, MD, MS, FCCP
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*From the Departments of Medicine (Drs. Bulman, Horn, Wilt, and Kawut), Anesthesia (Drs. Brentjens and Dickstein), and Surgery (Dr. Emond), Columbia University College of Physicians and Surgeons, and the Department of Medicine (Dr. Coyle), Albert Einstein College of Medicine, New York, NY.

Correspondence to: Steven M. Kawut, MD, MS, FCCP, Division of Pulmonary, Allergy and Critical Care Medicine, Columbia University College of Physicians and Surgeons, 622 W 168th St, PH 8E, Room 101, New York, NY 10032; e-mail: sk2097@columbia.edu



Chest. 2007;132(4):1356-1358. doi:10.1378/chest.07-0111
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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.

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