Al-Nasser Ibrahim, Anwar Ashraf M, Nosir Youssef F M, Chamsi-Pasha Mohammed A R, Ajam Aref, Alqiriaqri Aymen, Chamsi-Pasha Hassan
Department of Cardiology, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia.
J Cardiovasc Magn Reson. 2008 Dec 20;10(1):60. doi: 10.1186/1532-429X-10-60.
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.
心脏结核较为罕见,通常累及心包。心肌结核瘤非常罕见,仅有少数病例报道。我们描述了心血管磁共振成像在诊断一例罕见的累及右心房并伴有双腔静脉梗阻的心脏结核瘤中的应用。该患者经抗结核治疗后有显著改善。据我们所知,这种并发症从未与心脏结核瘤相关报道过。