CARDIAC TUBERCULOSIS - VALUE OF ECHOCARDI OGRAPHY AND THERAPEUTIC MANAGEMENT

The authors report the case of a patient with a large mass in the righ t ventricle which was a tuberculoma without pulmonary disease. The sev erity of the right ventricular obstruction required surgical intervent ion with quadri-antitubercular therapy. Myocardial tuberculomas are ve ry rare and usually reported as post-mortem findings. Only four cases resulting in cure have been previously reported. Current means of inve stigation such as echocardiography and endomyocardial biopsy allow rap id diagnosis of these tumours and should lead to better medical manage ment with possible surgical intervention and a higher therapeutic succ ess rate.