Syncope as the primary manifestation of hydatid cyst

Report of two cases with different etiologies

Synkope als Erstmanifestation einer Echinokokkose

Darstellung zweier Fälle mit unterschiedlicher Ätiologie

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Hydatid disease is a parasitic infestation that is caused by the larvae of the tapeworm Echinococcus granulosus. Clinical manifestations are extremely variable and related to the location and the size of the cysts. Syncope as the first clinical presentation of hydatid cyst is a very rare condition. Herein, we report two cases of patients with cardiac and pleural hydatid cysts who had syncope as the initial symptom.


Die Echinokokkose stellte einen Parasitenbefall dar, der durch Larven des Bandwurms Echinococcus granulosus verursacht wird. Die klinische Manifestation kann sehr stark variieren und ist abhängig von der Lokalisation und der Zystengröße. Eine Synkope als erstes klinisches Symptom einer Echinokokkuszyste ist äußerst selten. Im vorliegenden Beitrag werden 2 Fälle mit einer kardialen bzw. einer pleuralen Echinokokkuszyste dargestellt, in denen die Vorstellung beim Arzt wegen einer Synkope als Erstsymptom erfolgt war.

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Conflict of interest

On behalf of all authors, the corresponding author states that there are no conflicts of interest.

Author information

Correspondence to O. Turak MD.

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Video Transthoracic echocardiography showing a huge cystic lesion that significantly obliterates the left ventricular cavity (avi 8MB)

Video Transthoracic echocardiography showing a huge cystic lesion that significantly obliterates the left ventricular cavity (avi 8MB)

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Turak, O., Özcan, F., Sökmen, E. et al. Syncope as the primary manifestation of hydatid cyst. Herz 39, 287–290 (2014) doi:10.1007/s00059-013-3827-x

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  • Hydatid cysts
  • Syncope
  • Echinococcus granulosus
  • Cardiac hydatid cyst
  • Pleural hydatid cyst


  • Echinokokkuszysten
  • Synkope
  • Echinococcus granulosus
  • Kardialen Echinokokkuszyste
  • Pleuralen Echinokokkuszyste