Abstract
• Multimodality imaging plays a crucial role in confirming cardiac echinococcosis. • Speckle-tracking echocardiography gives information about regional myocardial function. • Cyst rupture often causes life-threatening anaphylactic shock. • We present an unusual case of cyst rupture, with chest pain as the only symptom. • Complete surgical removal is the treatment of choice for cardiac echinococcosis.