Cardiac and Pericardiac Hydated Cyst

Abstract

Pericardial hydatid disease or echinococcosis is a rare complication of Echinococcus granulosus infection. Cases with cardiac hydatid cyst disease are uncommon, being approximately 0.5-2% of all cases. Most cardiac hydatid cysts are located in the interventricular septum or left ventricular wall. Pericardial location is very rare. Only few cases of pericardial location have been reported; isolated pericardial hydatid cysts are especially extremely rare. Patients with a pericardial hydatid cyst are usually asymptomatic. We are reporting case of a 19 year old man with pericardial hydatid cyst who presented with chest pain and cough. Early diagnosis and immediate treatment can save the patient’s life in most of the cases. Traditionally, the diagnosis is made with two-dimensional transthoracic echocardiography, chest X-Ray and CT scan. The most appropriate therapeutical option for a hydatid cyst is surgical removal of the cystic mass.