Key result
Anti-tuberculous treatment completely resolves a right atrial tuberculoma, avoiding surgical excision.
Why the study?
Cardiac tuberculoma is a very rare occurrence with few reported cases, and its diagnosis can be challenging due to resemblance to other cardiac masses.
Does anti-tuberculous treatment resolve cardiac tuberculoma presenting as a right atrial mass?
Case Report (n=1)
Does anti-tuberculous treatment resolve cardiac tuberculoma presenting as a right atrial mass?
Cardiac tuberculoma can present as a right atrial mass mimicking myxoma and can be successfully treated with anti-tuberculous therapy.
Answers are grounded in this paper and cite their sources.
Supports resolution of cardiac tuberculoma with anti-tuberculous therapy; hypothesis-generating and requires prospective validation.
Cardiac tuberculosis is rare and usually involves the pericardium. Myocardial tuberculoma is a very rare occurrence and only a few cases have been reported. We describe a rare case of cardiac tuberculoma involving the whole of the lateral right atrial wall, extending from the superior vena cava/right atrial junction up to a tricuspid valve. The initial diagnosis of right atrial myxoma was made based on the echocardiography report and surgical excision was planned. Intraoperatively, the excision of the mass was deferred due to the extensive nature of the disease and a high suspicion of malignancy. Cardiac tuberculoma was confirmed by histopathological examination. The patient made a remarkable recovery with the complete disappearance of the mass after anti-tuberculous treatment, as viewed by a postoperative echocardiography during the follow-up.
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Rao et al. (2012) conducted a case report in Cardiac tuberculoma (n=1). Anti-tuberculous treatment was evaluated on Disappearance of the mass. Anti-tuberculous treatment led to the complete disappearance of a rare right atrial cardiac tuberculoma, avoiding the need for surgical excision.
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