Case Report

A Rare Case of Cardiac Hydatid Disease without Liver and Lungs Involvement


Hydatid disease is a parasitic infection caused by Echinococcus granulosus. Cardiac involvement is rare especially without liver and lungs tissue involvement. We describe a 12-year-old male patient referred to Mofid Children's Hospital, Tehran, Iran in Jul 2020 due to chronic pericardial effusion and suspected tuberculosis infection from Afghanistan. Echocardiography revealed a cystic lesion in the interventricular septum. Thoracic and abdominal computed tomography showed no similar cystic lesion in the lungs and liver. The patient underwent open-heart surgery for cystectomy and medical treatment with albendazole. Histological examination confirmed hydatid cyst diagnosis. The patient was discharged in good condition and oral albendazole was continued.

1. Demirci S, Gunaydin G, Dogan KH, Toy H (2008). Sudden death due to hydatid cyst rupture located in right ventricle. Am J Fo-rensic Med Pathol, 29(4): 346-8.
2. Tuncer E, Turk U, Alioglu E (2013). Cardiac hydatid cyst: An unusual cause of chest pain. Int Cardiovasc Res J, 7(4): 150-1.
3. Tasdemir K, Akcali Y, Gunebakmaz O, et al (2009). Surgical approach to the man-agement of cardiovascular echinococ-cosis. J Card Surg, 24(3): 281-4.
4. Sarli B, Ugurlu M, Baktir AO, et al (2016). Lone, Mobile left atrial hydatid cyst. Tex Heart Inst J, 43(3): 261-3.
5. Shojaeifard M, Hosseini S, Pouraliakbar H, et al (2016). Cardiac hydatid cyst without liver involvement: A case report. Iran J Parasitol, 11(2): 274-8.
6. Aligaber NN, Alshoabi SA, Qurashi AA, Daqqaq TS (2020). Cardiac hydatid cyst in the right ventricle: An unusual case at a rare site. J Taibah Univ Med Sci, 15(3): 249-52.
7. Atilgan D, Demirel S, Akkaya V, Korkut F (1996). Left ventricular hydatid cyst: an unusual location of Echinococcus granulosus with multiple organ involvement. J Am Soc Echocardiogr, 9(2): 212-5.
8. Demircan A, Keles A, Kahveci FO, et al (2010). Cardiac tamonade via a fistula to the pericardium from a hydatid cyst: Case report and review of the literature. J Emerg Med, 38(5): 582-6.
9. Sundaram M (2012). Hydatid cyst of left atrioventricular groove: An unusual presentation. J Clin Diag Res, 6(6): 1066-7.
10. Tefera E, Knapp J, Teodon M (2017). Hy-datid cyst of the interventricular septum. Glob Cardiol Sci Pract, 2017(1): e201709.
11. Fiengo L, Bucci F, Giannotti D, et al (2014). Giant cardiac hydatid cyst in children: case report and review of the literature. Clin Med Insights Case Rep, 7: 111-116.
IssueVol 50 No 11 (2021) QRcode
SectionCase Report(s)
Cardiac hydatid cyst Interventricular septum Pediatrics

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Khalilian MR, Norouzi A, Zamani H, Forouzan Nia SK, Noei Teymoordash S. A Rare Case of Cardiac Hydatid Disease without Liver and Lungs Involvement. Iran J Public Health. 2021;50(11):2332-2336.