Case Reports in Cardiology
Volume 2017, Article ID 1023924, 5 pages
https://doi.org/10.1155/2017/1023924
Parachute-Like Mitral Valve Tuberculoma: A Rare Presentation
Allama Iqbal Medical College, Jinnah Hospital, Lahore, Pakistan
Correspondence should be addressed to Arslan Masood; moc.liamtoh@doosamnalsra_rd
Received 28 May 2017; Revised 28 August 2017; Accepted 5 September 2017; Published 8 October 2017
Academic Editor: Aiden Abidov
Copyright © 2017 Arslan Masood et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
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.