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Echocardiographic demonstration of resolving intrapericardial mass in tuberculous pericardial effusion

S Agrawal1, S Radhakrishnan, N Sinha

  • 1Department of Cardiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

International Journal of Cardiology
|February 1, 1990
PubMed

Insights

Tuberculous pericardial effusion can cause cardiac tamponade. A large intrapericardial mass resolved with chemotherapy, indicating it was likely exudate, not requiring surgery.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Pulmonology

Background:

  • Tuberculous pericardial effusion is a significant cause of pericardial disease.
  • Cardiac tamponade is a life-threatening complication requiring urgent management.

Observation:

  • A patient presented with cardiac tamponade secondary to tuberculous pericardial effusion.
  • Following pericardiocentesis, a large, echodense intrapericardial mass was identified.

Findings:

  • The intrapericardial mass completely resolved with antituberculous chemotherapy.
  • This resolution suggests the mass was a conglomeration of fibrinous exudates.

Implications:

  • Fibrinous exudates in tuberculous pericardial effusion do not necessitate surgical intervention.
  • Conservative management with chemotherapy is effective for resolving such masses.

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