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Mitral Stenosis II: Clinical features and Diagnostic Tests

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Related Experiment Video

Updated: May 22, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

Published on: June 11, 2019

A rare disappearing right atrial mass.

Venugopal R Rao¹, Kolwalkar Jagannath, Putane K Sunil

¹Department of Cardiothoracic and Vascular Surgery, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India. venurrao@yahoo.com

Interactive Cardiovascular and Thoracic Surgery

|April 27, 2012

Summary

Cardiac tuberculosis is rare, with myocardial tuberculoma being exceptionally uncommon. This case highlights successful treatment of a large cardiac tuberculoma with anti-tuberculous therapy, leading to complete mass resolution.

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Last Updated: May 22, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques

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Published on: June 11, 2019

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Area of Science:

Cardiology
Infectious Diseases
Pathology

Background:

Cardiac tuberculosis (TB) is a rare manifestation of tuberculosis, typically affecting the pericardium.
Myocardial tuberculoma, a localized form of cardiac TB, is exceedingly rare, with limited documented cases.

Observation:

A rare case of a large cardiac tuberculoma involving the right atrial wall, extending from the superior vena cava to the tricuspid valve, is presented.
Initial diagnosis suggested a right atrial myxoma based on echocardiography, leading to planned surgical excision.
Intraoperative findings raised suspicion of malignancy, deferring complete excision.

Findings:

Histopathological examination confirmed the diagnosis of cardiac tuberculoma.
The patient received anti-tuberculous treatment.
Postoperative echocardiography revealed complete disappearance of the cardiac mass.

Implications:

This case underscores the importance of considering cardiac tuberculoma in the differential diagnosis of cardiac masses, even in the absence of typical TB symptoms.
Successful management with anti-tuberculous therapy highlights a non-surgical approach for myocardial tuberculoma.
Early and accurate diagnosis is crucial for effective treatment and improved patient outcomes in rare cardiac infections.