Key result
Anti-tuberculous and anticoagulation therapy reduces right atrial tuberculoma and partially resolves IVC obstruction.
Case Report (n=1)
CMR is valuable in diagnosing rare cardiac tuberculomas, which can present with bicaval obstruction and respond well to anti-tuberculous therapy.
May support CMR for atypical cardiac masses in endemic areas; leaves open validation in larger cohorts.
Cardiac tuberculosis is rare and usually involves the pericardium. Myocardial tuberculoma is a very rare occurrence and only a few cases were reported. We describe the use of cardiovascular magnetic resonance in the diagnosis of a rare case of cardiac tuberculoma involving the right atrium which was complicated by a bicaval obstruction. The patient made a remarkable improvement with the anti-tuberculous treatment. To our knowledge, this complication has never been reported in relation to cardiac tuberculoma.
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Alnasser et al. (2008) conducted a case report in Right atrial tuberculoma with bicaval obstruction (n=1). Anti-tuberculosis and anticoagulation therapy was evaluated on Clinical and imaging improvement. Anti-tuberculous and anticoagulation therapy led to significant reduction of a right atrial tuberculoma mass and partial resolution of inferior vena cava obstruction at 12 months.
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