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Ann Thorac Surg 1999;67:226-228
© 1999 The Society of Thoracic Surgeons
a Division of Cardiovascular Surgery, Yonsei Cardiovascular Center, Seoul, South Korea
b Division of Cardiology, Yonsei Cardiovascular Center, Seoul, South Korea
c Department of Pathology, Yonsei University College of Medicine, Seoul, South Korea
Accepted for publication June 8, 1998.
Address reprint requests to Dr Chang, Division of Cardiovascular Surgery, Yonsei Cardiovascular Center, Yonsei University College of Medicine, CPO Box 8044, Seoul, Korea 120-752
e-mail: (bcchang{at}yumc.yonsei.ac.kr)
We examined a case of endocardial tuberculoma at the proximal superior vena cava and the right atrium in a 17-year-old male patient. He had frequent palpitations and general weakness for about 7 months and was referred for evaluation of incessant atrial tachyarrhythmia. Results of echocardiography and magnetic resonance imaging showed an intracardiac mass, which was excised using cardiopulmonary bypass. Histology of the mass was consistent with the diagnosis of tuberculoma. The patients postoperative course was uneventful and he was discharged with antituberculous medication. Five months after the operation, the patient was well without tachycardia, and follow-up echocardiography showed complete disappearance of the mass.
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