Eur J Cardiothorac Surg 2005;27:345
© 2005 Elsevier Science NL
Images in cardio-thoracic surgery |
Invasive aspergillosis of the lung with tuberculosis invading the heart—a rare presentation
Madhan Kumar*,
Saichandran Bhathala Vedagiri,
Nachiappan Muthuraman,
Subba Rao Kasturi Sathya Venkata Kumara
Department of Cardiothoracic and Vascular Surgery, Jawaharlal Institute of Postgraduate Education and Research, Dhanvantari Nagar, Pondicherry-605006, India
Received 24 June 2004;
received in revised form 9 August 2004;
accepted 10 August 2004.
* Corresponding author. Tel.: +91 413 227 2383/+91 413 227 1011. (E-mail: drkmkms{at}yahoo.com).
Key Words: Invasive aspergillosis • Tuberculosis • Hemoptysis
Thirty-eight year with history of dyspnea and hemoptysis. CT scan (Fig. 1(A)) and echocardiography (Fig. 1(B)) revealed a mass in the lung invading the heart.
View larger version (160K):
[in this window]
[in a new window]
|
Fig. 1. (A) CT- Scan showing right upper lobe homogenous opacity without line of demarcation from the cardiac shadow. (B) Echocardiography visualizing mass(M) in the left atrium.
|
|
Patient had sudden cardiac arrest. Partial autopsy of the heart and lung was done (Fig. 2(A) and (B)). Histopathological report was invasive aspergillosis with tuberculosis of the lung.
View larger version (148K):
[in this window]
[in a new window]
|
Fig. 2. (A) Heart and lung specimen-Endocardial aspect of the right atrium and ventricle. Mass (M) in the interatrial septal region. (B) Heart and lung specimen-Endocardial aspect of the left atrium and ventricle. Mass (M) in the left atrium arising from its roof. Histopathological report was invasive aspergillosis with tuberculosis of the lung. Even deeper sections doesn't showed evidence of malignancy.
|
|
