An unusual indication for cardiac transplantation: isolated myocardial tuberculosis.
We report a case of myocardial tuberculosis in an 18-year-old male. He had been diagnosed with isolated asymmetrical septal hypertrophy cardiomyopathy and presented severe congestive heart failure for 4 months. Echocardiography and magnetic resonance studies showed localized echodense shadows and cavities in the thickness of the left ventricle myocardium with severe myocardial dysfunction. No contraindications for cardiac transplantation were found and this was planned and performed. Histology of the myocardium was consistent with the diagnosis of myocardial tuberculosis. The patient's post-operative course was uneventful, and he was discharged with anti-tuberculosis medication.
López Gude
María Jesús
MJ
Department of Cardiac Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain. lgude@eresmas.com
Pérez de la Sota
Enrique
E
Cortina Romero
José Mariá
JM
Delgado
Juan Francisco
JF
Gómez Sánchez
Miquel Angel
MA
Aguado
José Mariá
JM
Rufilanchas Sánchez
Juan José
JJ
D000293:Adolescent; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D009206:Myocardium / Q000473:pathology; D016896:Treatment Outcome; D014381:Tuberculosis, Cardiovascular / Q000601:surgery*; D018487:Ventricular Dysfunction, Left