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Parachute-Like Mitral Valve Tuberculoma: A Rare Presentation
Arslan Masood1, Gul Zaman Khan1, Irfan Bashir1
1Allama Iqbal Medical College, Jinnah Hospital, Lahore, Pakistan.
Case Reports in Cardiology
|November 10, 2017
Summary
Cardiac tuberculoma, a rare heart infection, can occur even in healthy individuals. This case highlights the diagnostic challenges and the importance of advanced imaging for accurate identification and treatment.
Area of Science:
- Cardiology
- Infectious Diseases
- Pathology
Background:
- Tuberculous cardiac involvement is infrequently reported, typically in military tuberculosis or immunocompromised patients.
- Clinical manifestations range from incidental findings to severe complications like sudden death.
Observation:
- A case of cardiac tuberculoma in an immunocompetent individual presenting with dyspnea is detailed.
- The cardiac mass exhibited unusual morphology, complicating initial diagnosis.
Findings:
- Advanced imaging, including 4-dimensional echocardiography and cardiac magnetic resonance (CMR), was crucial for differentiating the tuberculoma from an anterior mitral leaflet aneurysm.
- Histological examination post-surgical resection confirmed the tuberculous etiology of the cardiac mass.
Implications:
- This case expands the understanding of cardiac tuberculoma presentation in immunocompetent hosts.
- It underscores the necessity of comprehensive imaging techniques for diagnosing rare cardiac masses.
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