BACKGROUND: We report an unusual localization of a hydatid cyst: the s
eptum interventriculare. CASE REPORT: A 60-year-old algerian men with
hypertension was treated for cardiac insufficiency with hypereosinophi
lia. Cardiac echography showed a round tumor in the septum interventri
culare. Serologic tests for hydatidosis were positive. Computed tomogr
aphy and magnetic resonance imaging were consistent with the diagnosti
c of hydatid cyst. Surgical treatment was rejected because of severe u
nderlying hypertensive cardiopathy. DISCUSSION: Cardiac hydatidosis is
uncommon, but may be revealed by cyst rupture. Treatment requires sur
gery and associated medical management with albendazole requires furth
er evaluation.