Parachute-Like Mitral Valve Tuberculoma: A Rare Presentation

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 tuberculo...

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Main Authors: Arslan Masood, Gul Zaman Khan, Irfan Bashir, Zubair Akram
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2017/1023924
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author Arslan Masood
Gul Zaman Khan
Irfan Bashir
Zubair Akram
author_facet Arslan Masood
Gul Zaman Khan
Irfan Bashir
Zubair Akram
author_sort Arslan Masood
collection DOAJ
description 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.
format Article
id doaj-art-8d10713b46554a23b05ff150f83e9935
institution Kabale University
issn 2090-6404
2090-6412
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Cardiology
spelling doaj-art-8d10713b46554a23b05ff150f83e99352025-02-03T06:42:18ZengWileyCase Reports in Cardiology2090-64042090-64122017-01-01201710.1155/2017/10239241023924Parachute-Like Mitral Valve Tuberculoma: A Rare PresentationArslan Masood0Gul Zaman Khan1Irfan Bashir2Zubair Akram3Allama Iqbal Medical College, Jinnah Hospital, Lahore, PakistanAllama Iqbal Medical College, Jinnah Hospital, Lahore, PakistanAllama Iqbal Medical College, Jinnah Hospital, Lahore, PakistanAllama Iqbal Medical College, Jinnah Hospital, Lahore, PakistanThere 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.http://dx.doi.org/10.1155/2017/1023924
spellingShingle Arslan Masood
Gul Zaman Khan
Irfan Bashir
Zubair Akram
Parachute-Like Mitral Valve Tuberculoma: A Rare Presentation
Case Reports in Cardiology
title Parachute-Like Mitral Valve Tuberculoma: A Rare Presentation
title_full Parachute-Like Mitral Valve Tuberculoma: A Rare Presentation
title_fullStr Parachute-Like Mitral Valve Tuberculoma: A Rare Presentation
title_full_unstemmed Parachute-Like Mitral Valve Tuberculoma: A Rare Presentation
title_short Parachute-Like Mitral Valve Tuberculoma: A Rare Presentation
title_sort parachute like mitral valve tuberculoma a rare presentation
url http://dx.doi.org/10.1155/2017/1023924
work_keys_str_mv AT arslanmasood parachutelikemitralvalvetuberculomaararepresentation
AT gulzamankhan parachutelikemitralvalvetuberculomaararepresentation
AT irfanbashir parachutelikemitralvalvetuberculomaararepresentation
AT zubairakram parachutelikemitralvalvetuberculomaararepresentation