title: [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].
abstract: 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.
mesh_terms: D000328:Adult; D000784:Aortic Dissection / Q000473:pathology*; D001019:Aortic Rupture / Q000473:pathology*; D001022:Aortic Valve Insufficiency / Q000473:pathology* / Q000601:surgery; D003327:Coronary Disease / Q000473:pathology; D003331:Coronary Vessels / Q000473:pathology*; D006801:Humans; D007431:Intraoperative Complications / Q000473:pathology*; D008297:Male; D009205:Myocarditis / Q000473:pathology*; D009206:Myocardium / Q000473:pathology; D012422:Rupture, Spontaneous; D014381:Tuberculosis, Cardiovascular / Q000473:pathology*; D014391:Tuberculosis, Miliary / Q000473:pathology
vernacular_title: Vŭrkhu edin sluchaĭ s tuberkulozen miokardit i ruptura na disetsirashta anevrizma na aortata i liavata venechna arteriia na sŭrtseto po vreme na operatsiia na aorten porok na sŭrtseto.