Video-assisted thoracoscopic surgery for the treatment of pericardial hydatid cyst.

We would like to present video-assisted thoracoscopic surgery for the treatment of pericardial hydatid cyst. Thirty two-year-old female patient was referred for evaluation of a left mediastinal mass. Magnetic resonance image, computed tomography and transesophageal echocardiography confirmed a well circumscribed mass with compatible hydatid cyst at the left pericardial wall end of the differantial diagnosis. Our surgical plan entailed the endoscopic resection of pericardial hydatid cyst. We did not adopt a more precise strategy such as open procedure. We managed removal of the hydatid cyst by using video assisted thoracoscopic surgery. The patient has been doing well for 4 years now after her surgery. We think that endoscopic approach is an effective treatment modality for pericardial hydatid cyst.