1987
DOI: 10.1007/bf00200469
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Sudden death caused by hydatid embolism

Abstract: An 18-year-old man died on the spot during a foot race. Previously, he had been in a healthy condition. Since the cause of his sudden death was unknown, a forensic autopsy was carried out. The autopsy revealed hydatid cysts in the right ventricle of the heart some of which had embolized the pulmonary arteries. In case of sudden death in endemic areas the possibility of a hydatid disease should be taken into consideration.

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Cited by 10 publications
(8 citation statements)
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“…In these cases, techniques other than Dowling's technique, such as tapping of the cyst and injection of a devitalizing solution (formalin or hypertonic saline) may be useful before removal of the cyst [12,14,16]. Otherwise, complications caused by rupture of the cyst into the subarachnoid space followed by a severe anaphylactic response are inevitable [3], and operative mortality is expected to be higher in such patients. Chemotherapy could be of great importance in patients with multiple cysts and in those unfit for surgery or suffering from recurrent disease.…”
Section: Discussionmentioning
confidence: 99%
“…In these cases, techniques other than Dowling's technique, such as tapping of the cyst and injection of a devitalizing solution (formalin or hypertonic saline) may be useful before removal of the cyst [12,14,16]. Otherwise, complications caused by rupture of the cyst into the subarachnoid space followed by a severe anaphylactic response are inevitable [3], and operative mortality is expected to be higher in such patients. Chemotherapy could be of great importance in patients with multiple cysts and in those unfit for surgery or suffering from recurrent disease.…”
Section: Discussionmentioning
confidence: 99%
“…While cardiac echinococcosis has been well-documented [1,2,13], cases of sudden death revealing a cardiac cyst have been rarely reported in the literature [4,6,8,13]. In these cases, death has been mostly attributed to anaphylactic shock following cystic rupture or to the local expansion of the cyst causing arrythmias, blocks, and construction of cardiac chambers [17].…”
Section: Discussionmentioning
confidence: 99%
“…Hydatid cysts develop predominantly in the liver and the lungs [2, 3]. Cardiac hydatid involvement is a rare event, representing 0.4%–3% of cases, and its clinical evolution is slow and asymptomatic until acute complications or lethal outcome occur [4]. In northern Tunisia, over a 6‐year period, 26 sudden deaths from hydatid disease were observed, including one case due to heart localization [5].…”
Section: Introductionmentioning
confidence: 99%
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“…The authors suggested that it was probably secondary to microemboli migration in the small vessels of the lung. Buris et al 17 reported a sudden death caused by hydatid embolism in a previously healthy man who died during a race, and at autopsy hydatid cysts in the right ventricle were detected. The necropsy revealed that the cysts had embolized into the pulmonary arteries.…”
Section: Discussionmentioning
confidence: 99%