Intracardiac tuberculoma

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Presentation transcript:

Intracardiac tuberculoma Byung-Chul Chang, MD, Jong-Won Ha, MD, Jung-Taek Kim, MD, Namsik Chung, MD, Sang-Ho Cho, MD The Annals of Thoracic Surgery Volume 67, Issue 1, Pages 226-228 (January 1999) DOI: 10.1016/S0003-4975(98)01081-9

Fig 1 Preoperative electrocardiogram demonstrates atrial tachycardia with varying degrees of atrioventricular conduction. The atrial rate is 150 beats per minute. The Annals of Thoracic Surgery 1999 67, 226-228DOI: (10.1016/S0003-4975(98)01081-9)

Fig 2 Multiplane transesophageal echocardiogram at 92 degrees shows a large echogenic mass (white arrows) attached at the superior portion of the right atrium with partial obstruction of the superior vena cava. (LA = left atrium; RA = right atrium; SVC = superior vena cava.) The Annals of Thoracic Surgery 1999 67, 226-228DOI: (10.1016/S0003-4975(98)01081-9)

Fig 3 Surgical view demonstrates thickened pericardium and the yellowish-brown mass at the right atrium (white arrows). (Ao = aorta; IVC = inferior vena cava.) The Annals of Thoracic Surgery 1999 67, 226-228DOI: (10.1016/S0003-4975(98)01081-9)

Fig 4 Light microscopic findings show ill-defined granuloma with central caseation necrosis and infiltrations of epithelioid cells and lymphocytes consistent with tuberculosis. (Hematoxylin-eosin stain; ×100 before 49% reduction.) The Annals of Thoracic Surgery 1999 67, 226-228DOI: (10.1016/S0003-4975(98)01081-9)

Fig 5 Multiplane transesophageal echocardiogram after 5 months of antituberculosis medication reveals complete disappearance of the mass and normal diameter of the superior vena cava. (LA = left atrium; RA = right atrium; SVC = superior vena cava.) The Annals of Thoracic Surgery 1999 67, 226-228DOI: (10.1016/S0003-4975(98)01081-9)