Tuberculoma of the Interventricular Septum

Tuberculous involvement of the myocardium is unusual even in miliary tuberculosis and is almost unknown in the absence of active tuberculosis elsewhere in the body. Three forms are generally recognized. Of these, the nodular is the most striking and has been most frequently reported. In a few instances the nodules have been directly responsible for death. In the first two recorded cases (Townsend, 1832; Maurocordatus, 1664) myocardial tubercles obstructed the pul- monary veins, causing death from pulmonary hlmorrhage; ventricular rupture through a tuber- culoma was described by Oudendal (1923) and Korybut-Daszkiewicz (1922); coronary artery occlusion by However, in most reports, myocardial nodules have merely formed part of a fatal tuberculous process, and there is only one instance in which no other focus of active tuberculosis was present (Barnes, Barnes, and Wilson, 1956).