Huge Intracavitary Cardiac Hyadatid Cyst Presenting with Heart Failure

Document Type : Case Report


1 Cardio Surgeon, Department of Cardiovascular Surgery, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Department of Cardiology, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran


Although cardiac involvement is an infrequent presentation in human hydatidosis, early diagnosis and prompt surgical intervention of cardiac hydatid cyst are of utmost importance for the prevention of potential complications. We report a young female patient who presented with a huge cardiac hydatid cyst and severe heart failure symptoms undergoing successful surgical cyst removal with late follow-up.


1. Aghajani H, Yazdani S, Forouzan Nia SK, Vahidi H, Aghajani F. Dog footprint in the heart. J Tehran Univ Heart Center. 2016; 11:198-202.
2. Charfeddine S, Mallek S, Gueldiche M, Triki F, Jmâa HB, Frikha I, et al. A huge cardiac hydatid cyst: an unusual cause of chest pain revealing multivisceral hydatidosis in a young woman. J Saudi Heart Assoc. 2015; 27:286-91.
3. Ohri S, Sachdeva A, Bhatia M, Shrivastava S. Cardiac hydatid cyst in left ventricular free wall. Echo Res Pract. 2015; 2:K17-9.
4. Tefera E, Knapp J, Teodori M. Hydatid cyst of the interventricular septum. Glob Cardiol Sci Pract. 2017; 2017:e201709.
5. Eckert J, Deplazes P. Biological, epidemiological, and clinical aspects of echinococcosis, a zoonosis of increasing concern. Clin Microbiol Rev. 2004; 17:107-35.
6. Makaryus AN, Hametz C, Mieres J, Kort S, Carneglia J, Mangion J. Diagnosis of suspected cardiac echinococcosis with negative serologies: role of transthoracic, transesophageal, and contrast echocardiography. Eur J Echocardiogr. 2004; 5:223-7.
7. Maroto LC, Carrascal Y, López MJ, Forteza A, Pérez A, Zavanella C. Hydatid cyst of the interventricular septum in a 3.5-year-old child. Ann Thorac Surg. 1998; 66:2110-1.
8. Tekin AF, Durmaz MS, Da─čli M, Akbayrak S, Akbayrak P, Turgut B. Left ventricular hydatid cyst mimicking acute coronary syndrome. Radiol Case Rep. 2018; 13:697-701.
9. Abhishek V, Avinash V. Cardiac hydatid disease: literature review. Asian Cardiovasc Thorac Ann. 2012; 20:747-50.
10. World Health Organization. Guidelines for treatment of cystic and alveolar echinococcosis in humans. WHO Informal Working Group on Echinococcosis. Bull World Health Organ. 1996; 74:231-42.