Endocardial Tuberculosis

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Presentation transcript:

Endocardial Tuberculosis Pranav Kandachar, MCh, Devajyoti Guin, MS, Suravi Mohanty, MD, Namita Sinha, MD, Mary George, MD, Savitha Nagaraj, MD, Saba Fathima, MD, Navin Lal, MCh The Annals of Thoracic Surgery Volume 98, Issue 4, Pages e81-e82 (October 2014) DOI: 10.1016/j.athoracsur.2014.06.091 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Echocardiography showing a pedunculated mass in the left atrium (white arrow). The Annals of Thoracic Surgery 2014 98, e81-e82DOI: (10.1016/j.athoracsur.2014.06.091) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Computed tomography (CT) of thorax (reconstructed lateral view) showing a 16 × 9 × 8 mm heterogeneously enhancing subtle lesion in the left atrium adjacent to the mitral valve (white arrow). Inset: CT of thorax also showing miliary tubercles in the lung fields (black arrow). The Annals of Thoracic Surgery 2014 98, e81-e82DOI: (10.1016/j.athoracsur.2014.06.091) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Ziehl Neelsen stain (oil immersion ×1,000) from the mass showing acid fast bacilli (black arrows). The Annals of Thoracic Surgery 2014 98, e81-e82DOI: (10.1016/j.athoracsur.2014.06.091) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Histopathologic examination of endocardium (hematoxylin and eosin stain, ×400) showing granuloma (black arrows). The Annals of Thoracic Surgery 2014 98, e81-e82DOI: (10.1016/j.athoracsur.2014.06.091) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions