Key result
Surgical resection confirms a rare parachute-like mitral valve tuberculoma in an immune-competent patient with dyspnea.
Case Report (n=1)
Highlights the utility of multimodality imaging (4D echocardiography and CMR) in diagnosing rare cardiac tuberculomas presenting as mitral valve masses.
Alerts clinicians to rare tuberculoma in immunocompetent mitral valve disease; leaves open optimal diagnostic and therapeutic approaches.
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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Masood et al. (2017) conducted a case report in Cardiac tuberculoma (n=1). Surgical resection was evaluated on Histological confirmation of tuberculous etiology. Surgical resection and histological examination confirmed a rare parachute-like mitral valve tuberculoma in an immune-competent patient presenting with worsening dyspnea.
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