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Echinococcosis is a human infection caused by the larvalstage of Echinococcocus granulosus. The most commonsites of infection are the liver and the lungs. Cardiac in-volvement is very rare (0.5-3%) even in regions in whichhydatic disease is endemic (the south Mediterranean coun-tries and Africa). We report a case of a 28-year-old man,who died suddenly. According to his family he was an ap-parently healthy man without medical history; he was founddead in the bathroom. The post-mortem examination re-vealed a large cyst (6×8 cm) in the left ventricle of the heartwith an intact wall (Picture 1) and a small daughter cystprotruding in the pericardial cavity (Picture 2, panel A). Thecytologic examination of the cyst fluid demonstrated thepresence of the characteristic scolices and hooklets and con-firmed the diagnosis of cardiac hydatid cyst. Causes of car-diac sudden death involve different mechanisms (1) includ-ing ventricular arrhythmia, cardiac outflow obstruction orconduction tract disturbance, pulmonary and cerebral embo-lism, cardiac tamponade, and myocardial ischemia.

Sudden Death due to an Unrecognized Cardiac Hydatid Cyst