Background Echinococcosis was firstly described by Hippocrates in the 4th century AD. Humans are an accidental intermediary host attacked by the larval stage of cestode tapeworm echinococcusgranulosus to develop cyst anywhere except nail & hair.
Objective To highlight on surgical procedures used in the treatment of cardiac hydatid cysts & the steps necessary for success.
 Methods All patients with cardiac hydatidcysts were symptomatic of both sexes and age group underwent strict evaluation by history, examination &investigations. Surgery done for all with aid of cardiopulmonary bypass, with antihelminthics medications one week preoperatively.
Results Surgical techniques varies according to individual condition. Complications & outcome were analyzed as low morbidity and average hospital stay following surgery, no mortality occurred and all the patients discharged in good condition.
Conclusion The most specificity in cardiac hydatid cysts surgery is a conservative technique so
it is need to keep in mind the necessity of avoid the complications of residual cavity.