Parachute-Like Mitral Valve Tuberculoma: A Rare Presentation

Autor: Arslan Masood, Gul Zaman Khan, Irfan Bashir, Zubair Akram
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Case Reports in Cardiology, Vol 2017 (2017)
Druh dokumentu: article
ISSN: 2090-6404
2090-6412
DOI: 10.1155/2017/1023924
Popis: There have been anecdotal reports of tuberculous cardiac involvement, mainly in cases of military tuberculosis or immune deficient individuals. The spectrum of clinical presentations of tuberculous cardiac involvements includes incidental detection of single and multiple well-circumscribed tuberculomas, symptomatic obstructive lesions, AV conduction abnormalities, and even sudden death. We present a case of cardiac tuberculoma in an immune-competent person who presented with worsening dyspnea. The unique morphology of this mass posed an imaging challenge that required 4-dimensional (4D) echocardiography and cardiac magnetic resonance (CMR) detail to differentiate the mass from an anterior mitral leaflet (AML) aneurysm. Histological examination after surgical resection confirmed its tuberculous etiology.
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