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This sac\u2010like structure markedly changed its shape and size during the cardiac cycle. These findings and the fact that the patient lived in a rural area raised the possibility that this was a hydatid cyst. A bubble study using normal saline was useful in detecting a contained rupture of the cyst. Bubble echoes were noted within the sac\u2010like structure but did not penetrate the inner wall of the cyst which contained echogenic material, indicating that the rupture was confined only to the outer layers. At surgery, a 0.5\u00a0cm communication was noted between the cyst and the <jats:styled-content style=\"fixed-case\">RVOT<\/jats:styled-content> and pathology confirmed the diagnosis of hydatid cyst.<\/jats:p>","DOI":"10.1111\/echo.13317","type":"journal-article","created":{"date-parts":[[2016,9,21]],"date-time":"2016-09-21T05:16:44Z","timestamp":1474435004000},"page":"1402-1408","source":"Crossref","is-referenced-by-count":1,"title":["Usefulness of bubble study in echocardiographic diagnosis of contained rupture of hydatid cyst in the right ventricular outflow tract"],"prefix":"10.1111","volume":"33","author":[{"given":"Amitoj","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Cardiology St. Luke's University Health Network  Bethlehem Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ravindra","family":"Sharma","sequence":"additional","affiliation":[{"name":"Santokba Durlabhji Memorial Hospital  Jaipur Rajasthan 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