Clinical case of multiple echinococcosis involving the right heart

Echinococcosis is a chronic parasitic disease caused by Echinococcus granulosus. Echinococcosis of the heart is a rather rare localization (0,01–3% of all cases of echinococcosis). The difficulty in diagnosing echinococcosis of the heart is that the clinical picture is erased and nonspecific, therefore, as a rule, more than one year passes from the first symptoms to clinical verification. The surgical method is the only effective method for treating intracardiac echinococcosis. The purpose of our work: to present a clinical case of echinococcosis with a rare localization. A clinical case of combined echinococcosis of the liver, lungs, brain with involvement of the heart (right ventricle and right atrium) in a 55-year-old patient with a history of extrapulmonary tuberculosis, destruction of the body of the sternum, resection of the sternum and chondral part of the ribs, postoperative recurrent fistula is presented. The severity of the patient's condition was due to decompensated pulmonary heart of combined genesis (bronchopulmonary and thoracodiaphragmatic forms), as well as direct damage to the right heart by echinococcus.