A LARGE BRAIN HYDATID CYST AND CARDIAC INVOLVEMENT

Echinococcosis is endemic in many sheep-raising areas of the world. Cardiac involvement in patients
with hydatid disease is uncommon (<2%). Here, we report a 30-year-old shepherd from Oshnavie, West
Azarbaijan who was presented with right hemiparesis and admitted in neurosurgery ward of Imam
Khomeini Hospital, Urmia, Iran because of a large cystic lesion in brain MRI. There was left bundle
branch block in ECG and transthoracic echocardiogram revealed a large cyst in the left ventricle. In
endemic areas, hydatid cyst should be considered in the differential diagnosis of heterogeneous
echogenic lesions even if the serologic tests are negative. This patient was candidate for a cardiac
surgery but unfortunately due to the limitations in this city, he was referred to a more equipped center.
Patient underwent cardiac surgery in that center and the brain operation was performed a few weeks
later