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Cardiac metastases are rare. Herein, we report a case of a 37-year-old female patient with a history of borderline breast phyllodes tumor (PT) treated by surgery, admitted to our department for concomitant cardiac and pulmonary metastases of malignant PT. Cardiac metastasis occurred through direct extension from pulmonary metastasis to the left atrium via the right inferior pulmonary vein, causing severe mitral valve obstruction. Although the total surgical removal of metastases, the patient had a huge relapse of the mediastinal metastasis resulting in her death.

Hydatidosis is a pathology that is still common. The hydatid cyst commonly involves the liver and lung. Cases of multi visceral echinococcosis with atypical localization are rare. We report the case of a 53-year-old Tunisian farmer with a multiple organ hydatidosis that included 13 hydatid cysts: the lungs, the liver, the left heart ventricle, the left kidney, the abdomen cavity, muscles (psoas, adductors), and subcutaneous gluteal area. The majority of these cysts was already treated surgically, and some were due to be removed., Competing Interests: No competing interests were disclosed., (Copyright: © 2023 Kaddoussi R et al.)