The echinococcal disease with a cardiac location of the hydatid cyst is uncommon and potentially fatal for the patient's life. The diagnosis could be difficult because no specific symptoms ever occur. However, this pathology should be always kept in mind in endemic regions. Herein we report a rare case of hydatid cyst situated in the right ventricular free wall. The diagnosis was ensured by transthoracic and transesophageal echocardiography, CT and MRI. The patient underwent a total cardiopulmonary bypass without aortic cross-clamping. Several ruptured daughter cysts were removed. The fibrous capsule was opened and the germinative membrane was extirpated. Postopeраtively, albendazole therapy was administered. No complications were reported.
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