[A case of tuberculous myocarditis and rupture of a dissecting aortic aneurysm and of the left coronary artery of the heart during surgery for an aortic heart defect].

A rare case of tuberculous myocarditis, miliary type, in hematogenic-disseminated tuberculosis of lungs and liver is reported. Some morphological characteristics of tubercules in myocardium require a broad differential diagnosis with idiopathic granulomatous myocarditis, sarcoidosis, lues and brucellosis. Tuberculosis was in combination with isolated heart defect-- insufficiancy of aortic valve, hypertonic disease, atherosclerosis, dissecting aneurysm of ascending aorta and left coronary artery of the heart, complicated by a rupture during the cardiac operation.