Abstract： Objective To review the experience of surgical treatment of cardiac echinococcosis.Methods Twenty-five patients with cardiac echinococcosis,including 15 males and 10 females with a mean age of (29 ±8) years,undergoing surgical treatment from February 1978 to September 2011 were retrospectively summarized.Results There were myocardial echinococcosis (n =16),pericardial echinococcosis (n =7),myocardial and pericardial echinococcosis (n =2).The surgical procedures included complete resection of hydatid cysts,cystectomy with needle aspiration and complete removal of endocyst.There was no intraoperative mortality.Twenty-one patients were followed up for 5-168 months.Four patients recurred and 1 died from heart failure at 10 months postoperation.Conclusion The preferred treatment of cardiac hydatid cyst is surgical resection.And a selection of proper technique is of great importance for excising hydatid cyst and preventing recurrence.