RESUMEN
Takayasu's arteritis (TA) is a large vessel vasculitis of unknown aetiology characterised by involvement of the aorta and its major branches. Tuberculous arteritis of the aorta is an uncommon condition usually secondary to the dissemination of Mycobacterium tuberculosis infection from the mediastinum and/or lung to the adjacent aorta; this may mimic TA. We report a case of a 23-year-old woman with cutaneous granulomatous vasculitis and saccular aneurysmal dilation of the aorta and large vessels, and highlight the findings shared by TA and tuberculous arteritis.
Asunto(s)
Aorta/patología , Puente Cardíaco Izquierdo , Arteritis de Takayasu/diagnóstico , Tuberculosis Cardiovascular/diagnóstico , Adulto , Antiinflamatorios/administración & dosificación , Antígenos Bacterianos/sangre , Antituberculosos/administración & dosificación , Femenino , Puente Cardíaco Izquierdo/métodos , Humanos , Inmunidad Celular , Leucocitos Mononucleares/inmunología , Prednisolona/administración & dosificación , Arteritis de Takayasu/complicaciones , Arteritis de Takayasu/microbiología , Arteritis de Takayasu/patología , Arteritis de Takayasu/terapia , Resultado del Tratamiento , Tuberculosis Cardiovascular/complicaciones , Tuberculosis Cardiovascular/patología , Tuberculosis Cardiovascular/terapiaRESUMEN
Reported here is an obstruction of the right ventricular outflow tract caused by a tuberculoma in a 15-year-old boy who presented with a ventricular septal defect. The obstruction was discovered at surgery and the tuberculous aetiology was only demonstrated histologically. To the authors' knowledge, this is the first report of a tuberculoma of the heart associated with congenital heart disease.