title: An unusual indication for cardiac transplantation: isolated myocardial tuberculosis.
abstract: 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.
authors.affiliation: Department of Cardiac Surgery, Hospital Universitario 12 de Octubre, Madrid, Spain. lgude@eresmas.com
authors.forename: María Jesús
authors.initials: MJ
authors.lastname: López Gude
authors.forename: Enrique
authors.initials: E
authors.lastname: Pérez de la Sota
authors.forename: José Mariá
authors.initials: JM
authors.lastname: Cortina Romero
authors.forename: Juan Francisco
authors.initials: JF
authors.lastname: Delgado
authors.forename: Miquel Angel
authors.initials: MA
authors.lastname: Gómez Sánchez
authors.forename: José Mariá
authors.initials: JM
authors.lastname: Aguado
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Rufilanchas Sánchez
mesh_terms: 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