Iranian Journal of Parasitology 2016. 11(2):274-278.

Cardiac Hydatid Cyst without Liver Involvement: A Case Re-port


Hydatid disease is a rare parasitic disease, which mainly involves liver then lung tissues. Cardiac involvement is very rare, especially when there is not hepatic involvement. We describe a 47-year-old woman with a history of a lung hydatid cyst who was referred to Rajaei Heart Center, Tehran, Iran in 2012. Her chest computed tomographic scan showed a cardiac mass. Echocardiographic examination illustrated a large, well-defined heterogeneous mass (4.5 × 2.5 cm) in the roof of the right atrium with attachment to the crista terminalis without compressive effect on the inferior and superior venae cavae. The patient was candidate for open-heart surgery via median sternotomy. A cystic mass was observed in the lateral aspect of the right atrial wall. After an injection of hypertonic normal saline into the cystic lesion, the mass was excised totally. The right atrial defect was reconstructed with autologous pericardium. The patient was discharged from the hospital in good condition. Histological examination confirmed the diagnosis of the hydatid cyst.


Hydatid cyst; Cardiac involvement; Right atrial involvement

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Thameur H, Abdelmoula S, Chenik S, Bey M, Ziadi M, Mestiri T, Mechmeche R, Chaouch H. Cardiopericardial Hydatid cyst. World J Surg. 2001; 25:58-67.

Parvizi R, Namdari H, Bilehjani E, Bayat A, Sheikhalizadeh MA. Simultaneous operation of hydatid cyst of the heart and liver: a case report. J Cardiovasc Thorac Res. 2013; 5 (3):127-8.

Kuyumcu ME, Yesil y, Etgul S, Halacli B,, Sunman H, Yavuz BB, Hazirolan T, Halil M, Cankutaran M, ArioqulS. Inoperable isolated cardiac hydatid cyst controlled with albendazolein an older adult with dementia. Age Ageing. 2013; 42 (6):812-4.

Gecmen C, Candan O, Karabay CY, Guler A, Elveran A, Baskan O, Keles C, Esen AM. Hydatid Cyst in the Right Atrium and Pulmonary Hypertension Secondary to Cystic Embolism. Hellenic J Cardiol. 2011; 52: 160-162.

Demircan A, KelesA, Kahvecifo,Tulmac M, Ozsarac M. Cardiac tamponade via a fistula to the pericardium from a hydatid cyst: case report and review of the literature. J Emerg Med. 2010; 38 (5):582-6.

Sundaram M. Hydatid cyst of left atrioventricular groove: An unusual presentation. J Clin Diag Res. 2012, (6): 1066-1067.

Gulati G, Goyal NK, Kothari SS, Sharma S, Bisoi AK. Pericardial hydatid cyst. Indian Heart J. 2002; 54:437-8.

Arslan C, Cantürk E, Duygu E, Bozkurt AK. Simultaneous hydatid cyst of both right atrium and right ventricle. Acta Medica (Hradec kralove). 2007; 50 (3):217-9.

Tekbas EO1, Tekbas G, Atilgan ZA, Islamoglu Y, Cil H, Yazici M. Left Ventricular hydatid cyst mimicking acute coronary syndrome. J Infect Dev Ctries. 2012; 6(7):579-83.

Tandon S, Darbari A. Hydatid cyst of the right atrium: a rare presentation. Asian Cardiovasc Thorac Ann. 2006;14 (3):e43-4.

Poorzand H, Teshnizi MA, Baghini VS, Gifani M, Gholoobi A, Ziraki N. Giant cardiac hydatid cyst with rare adhesions. Hellenic J Cardiol, 2014; 55 (3); 260-4.

Jeridi G, Boughzala E, Hajri S, Hediji A, Ammar H. Complicated hydatid cyst of the right atrium simulating myxoma of the tricuspid valve. Ann Cardiol Angeiol (Paris). 1997;46 (3)159-62 .

Ben-Hamda K, Maatouk F, Ben-Farhat M et al. Eighteen-year experience with echinococcosis of the heart: clinical and echocardiographic features in 14 patients. Int J Cardiol. 2003; 91(2-3):145-51.

Acikel S, Kiziltepe U, Turkvatan A, Cakici M,Koroglu DB, Sahpaz A, Cerkci R, Yeter E. Intracavitary cardiac hydatid cysts with a high risk of thromboemboli: invasive nature of cardiac echinococcosis. HERZ. 2014; 39 (7)882-886.

Gecmen C, CanadanO, Karabay CY, Guler A, Elveran A, Baskan O, Keles C, Esen AM. Hydatid cyst in the right atrium and pulmonary hypertension secondary to cystic embolism. Hellenic J Cardiol. 2011; 52 (2):160-2.

Fiengo L, Bucci F, Giannotti D, Patrizi G, Redler A, Kucukaksu DS. Giant cardiac hydatid cyst in children: case report and review of the literature. Clin Med Insights Case Rep. 2014; 14; 7:111-6.

Akar R1, Eryilmaz S, Yazicioğlu L, Eren NT, Durdu S, Uysalel A, Uçanok K, Corapçioğlu T, Ozyurda U. Surgery for cardiac hydatid disease: an Anatolian experience. Anadolu Kardiyol Derg. 2003; 3 (3):238-44.


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