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Intracardiac tuberculoma.

B C Chang1, J W Ha, J T Kim

  • 1Yonsei Cardiovascular Center, and Department of Pathology, Yonsei University College of Medicine, Seoul, Korea. bcchang@yumc.yonsei.ac.kr

The Annals of Thoracic Surgery
|March 23, 1999
PubMed
Summary
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A rare endocardial tuberculoma in the heart

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pathology

Background:

  • Endocardial tuberculomas are rare cardiac manifestations of tuberculosis.
  • Intracardiac masses can present with various cardiac symptoms.

Observation:

  • A 17-year-old male presented with palpitations and weakness due to incessant atrial tachyarrhythmia.
  • Imaging revealed an intracardiac mass in the superior vena cava and right atrium.
  • The mass was surgically excised and diagnosed as tuberculoma via histology.

Findings:

  • Surgical resection of the endocardial tuberculoma was successful.
  • The patient received antituberculous medication post-surgery.
  • Follow-up showed complete resolution of the mass and absence of tachycardia.

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Implications:

  • This case highlights the possibility of endocardial tuberculoma presenting as cardiac arrhythmias.
  • Early diagnosis and surgical intervention, followed by appropriate medical management, can lead to favorable outcomes.
  • Further research into rare cardiac manifestations of tuberculosis is warranted.