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Cardiovascular Tuberculosis

  • Halil Fatih Aşgün
  • Bahadır Kırılmaz
Chapter

Abstract

Tuberculosis, which is still endemic in some countries, and frequently seen in some patient groups including immunocompromised patients, especially with HIV, is associated with a group of important extrapulmonary involvement. The cardiovascular system is one of the involved sites, and some serious complications such as pericarditis, endocarditis, myocarditis, valvular or coronary involvement, arteritis, and aneurysms may be seen. Besides, it has been concluded in several studies that tuberculosis may have an important role in etiology and pathogenesis of Takayasu arteritis, atherosclerosis, and deep vein thrombosis.

Keywords

Cardiovascular tuberculosis Pericarditis Pericardial effusion Constrictive pericarditis Effusive-constrictive pericarditis Myocarditis Aortitis Aneurysm Takayasu arteritis Atherosclerosis 

References

  1. 1.
    Aggarwal A, Chag M, Sinha N, Naik S. Takayasu’s arteritis: role of Mycobacterium tuberculosis and its 65 kDa heat shock protein. Int J Cardiol. 1996;55:49–55.CrossRefGoogle Scholar
  2. 2.
    Alkhuja S, Miller A. Tuberculosis and sudden death: a case report and review. Heart Lung J Acute Crit Care. 2001;30:388–91.  https://doi.org/10.1067/mhl.2001.118304.CrossRefGoogle Scholar
  3. 3.
    Allins AD, Wagner WH, Cossman DV, et al. Tuberculous infection of the descending thoracic and abdominal aorta: case report and literature review. Ann Vasc Surg. 1999;13:439–44.  https://doi.org/10.1007/s100169900280.CrossRefPubMedGoogle Scholar
  4. 4.
    Amonkar G, Rupani A, Shah V, Parmar H. Sudden death in tuberculous myocarditis. Cardiovasc Pathol. 2009;18:247–8.  https://doi.org/10.1016/j.carpath.2007.12.016.CrossRefPubMedGoogle Scholar
  5. 5.
    Biedrzycki OJ, Baithun SI. TB-related sudden death (TBRSD) due to myocarditis complicating miliary TB. Am J Forensic Med Pathol. 2006;27:335–6.  https://doi.org/10.1097/01.paf.0000233633.16185.32.CrossRefPubMedGoogle Scholar
  6. 6.
    Castillo-Martínez D, Amezcua-Guerra LM. Self-reactivity against stress-induced cell molecules: the missing link between Takayasu’s arteritis and tuberculosis? Med Hypotheses. 2012;78:485–8.  https://doi.org/10.1016/j.mehy.2012.01.012.CrossRefPubMedGoogle Scholar
  7. 7.
    Cherian G. Diagnosis of tuberculous aetiology in pericardial effusions. Postgrad Med J. 2004;80:262–6.CrossRefGoogle Scholar
  8. 8.
    Choudhary SK, Bhan A, Talwar S, et al. Tubercular pseudoaneurysms of aorta. Ann Thorac Surg. 2001;72:1239–44.CrossRefGoogle Scholar
  9. 9.
    Cinar B, Enç Y, Göksel O, et al. Chronic constrictive tuberculous pericarditis: risk factors and outcome of pericardiectomy. Int J Tuberc Lung Dis. 2006;10:701–6.PubMedGoogle Scholar
  10. 10.
    Clough RE, Topple JA, Zayed HA, et al. Endovascular repair of a tuberculous mycotic thoracic aortic aneurysm with a custom-made device. J Vasc Surg. 2010;51:1272–5.  https://doi.org/10.1016/j.jvs.2009.12.047.CrossRefPubMedGoogle Scholar
  11. 11.
    Dentan C, Epaulard O, Seynaeve D, et al. Active tuberculosis and venous thromboembolism: association according to international classification of diseases, ninth revision hospital discharge diagnosis codes. Clin Infect Dis. 2014;58:495–501.  https://doi.org/10.1093/cid/cit780.CrossRefPubMedGoogle Scholar
  12. 12.
    Desai N, Desai S, Chaddha U, Gable B. Tuberculous myopericarditis: a rare presentation in an immunocompetent host. BMJ Case Rep. 2013;2013:bcr2012007749.  https://doi.org/10.1136/bcr-2012-007749.CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Díaz-Peromingo JA, Mariño-Callejo AI, González-González C, et al. Tuberculous myocarditis presenting as long QT syndrome. Eur J Intern Med. 2000;11:340–2.CrossRefGoogle Scholar
  14. 14.
    Dogan S, Memis A, Kale A, Buket S. Endovascular stent graft placement in the treatment of ruptured tuberculous pseudoaneurysm of the descending thoracic aorta: case report and review of the literature. Cardiovasc Intervent Radiol. 2009;32:572–6.  https://doi.org/10.1007/s00270-008-9456-8.CrossRefPubMedGoogle Scholar
  15. 15.
    Golden MP, Vikram HR. Extrapulmonary tuberculosis: an overview. Am Fam Physician. 2005;72:1761–8.PubMedGoogle Scholar
  16. 16.
    Golzarian J, Cheng J, Giron F, Bilfinger TV. Tuberculous pseudoaneurysm of the descending thoracic aorta: successful treatment by surgical excision and primary repair. Tex Heart Inst J. 1999;26:232–5.PubMedPubMedCentralGoogle Scholar
  17. 17.
    Guilford T, Morris D, Gray D, Venketaraman V. Atherosclerosis: pathogenesis and increased occurrence in individuals with HIV and Mycobacterium tuberculosis infection. HIV AIDS (Auckl). 2010;2:211–8.  https://doi.org/10.2147/HIV.S11977.CrossRefGoogle Scholar
  18. 18.
    Gupta MD, Yadav N, Palleda GM. Granulomatous tubercular myocarditis: a rare cause of heart failure in the young. Cardiol Young. 2013;23:740–1.  https://doi.org/10.1017/S1047951113000723.CrossRefPubMedGoogle Scholar
  19. 19.
    Huaman MA, Henson D, Ticona E, et al. Tuberculosis and cardiovascular disease: linking the epidemics. Trop Dis Travel Med Vaccines. 2015;1:10.  https://doi.org/10.1186/s40794-015-0014-5.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Ikezawa T, Iwatsuka Y, Naiki K, et al. Tuberculous pseudoaneurysm of the descending thoracic aorta: a case report and literature review of surgically treated cases. J Vasc Surg. 1996;24:693–7.CrossRefGoogle Scholar
  21. 21.
    Irdem A, Baspinar O, Kucukosmanoglu E. Dilated cardiomyopathy due to miliary tuberculosis. Anadolu Kardiyol Derg/Anatol J Cardiol. 2013;13:499–500.  https://doi.org/10.5152/akd.2013.152.CrossRefGoogle Scholar
  22. 22.
    Jain AK, Chauhan RS, Dhammi IK, et al. Tubercular pseudoaneurysm of aorta: a rare association with vertebral tuberculosis. Spine J. 2007;7:249–53.  https://doi.org/10.1016/j.spinee.2006.04.021.CrossRefPubMedGoogle Scholar
  23. 23.
    Kannangara DW, Salem FA, Rao BS, Thadepalli H. Cardiac tuberculosis: TB of the endocardium. Am J Med Sci. 1984;287:45–7.PubMedGoogle Scholar
  24. 24.
    Karadag O, Aksu K, Sahin A, et al. Assessment of latent tuberculosis infection in Takayasu arteritis with tuberculin skin test and Quantiferon-TB Gold test. Rheumatol Int. 2010;30:1483–7.  https://doi.org/10.1007/s00296-010-1444-z.CrossRefPubMedGoogle Scholar
  25. 25.
    Kechaou I, Cherif E, Ben Hassine L, Khalfallah N. Deep vein thrombosis and tuberculosis: a causative link? BMJ Case Rep. 2014;2014:bcr2013200807.  https://doi.org/10.1136/bcr-2013-200807.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Khemiri M, Douira W, Barsaoui S. Co-occurrence of Takayasu’s arteritis and tuberculosis: report of a Tunisian pediatric case. Ann Pediatr Cardiol. 2016;9:75–8.  https://doi.org/10.4103/0974-2069.171398.CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Khurana R, Shalhoub J, Verma A, et al. Tubercular myocarditis presenting with ventricular tachycardia. Nat Clin Pract Cardiovasc Med. 2008;5:169–74.  https://doi.org/10.1038/ncpcardio1111.CrossRefPubMedGoogle Scholar
  28. 28.
    Kolhari VB, Bhairappa S, Prasad NM, Manjunath CN. Tuberculosis: still an enigma. Presenting as mycotic aneurysm of aorta. BMJ Case Rep. 2013;2013.  https://doi.org/10.1136/bcr-2013-008869.Google Scholar
  29. 29.
    Kothari SS. Aetiopathogenesis of Takayasu’s arteritis and BCG vaccination: the missing link? Med Hypotheses. 1995;45:227–30.CrossRefGoogle Scholar
  30. 30.
    Kouchoukos NT, Blackstone EH, Doty DB, et al. Pericardial disease. In: Kirklin/Barrat-Boyes cardiac surgery. 3rd ed. Philadelphia: Churchill Livingstone; 2003. p. 1779–95.Google Scholar
  31. 31.
    Kumarihamy K, Ralapanawa D, Jayalath W. A rare complication of pulmonary tuberculosis: a case report. BMC Res Notes. 2015;8:39.  https://doi.org/10.1186/s13104-015-0990-6.CrossRefPubMedPubMedCentralGoogle Scholar
  32. 32.
    Li F-P, Wang X-F, Xiao Y-B. Endovascular stent graft placement in the treatment of a ruptured tuberculous pseudoaneurysm of the descending thoracic aorta secondary to Pott’s disease of the spine. J Card Surg. 2012;27:75–7.  https://doi.org/10.1111/j.1540-8191.2011.01343.x.CrossRefPubMedGoogle Scholar
  33. 33.
    Li H, Li R, Qu J, et al. Ventricular tachycardia in a disseminated MDR-TB patient: a case report and brief review of literature. Front Med. 2014;8:259–63.  https://doi.org/10.1007/s11684-014-0321-7.CrossRefPubMedGoogle Scholar
  34. 34.
    Lim AY, Lee GY, Jang SY, et al. Comparison of clinical characteristics in patients with Takayasu arteritis with and without concomitant tuberculosis. Heart Vessel. 2016;31:1277–84.  https://doi.org/10.1007/s00380-015-0731-8.CrossRefGoogle Scholar
  35. 35.
    Liu A, Hu Y, Coates A. Sudden cardiac death and tuberculosis – How much do we know? Tuberculosis. 2012;92:307–13.  https://doi.org/10.1016/j.tube.2012.02.002.CrossRefPubMedGoogle Scholar
  36. 36.
    Long R, Guzman R, Greenberg H, et al. Tuberculous mycotic aneurysm of the aorta: review of published medical and surgical experience. Chest. 1999;115:522–31.CrossRefGoogle Scholar
  37. 37.
    Maisch B, Soler-Soler J, Hatle L, Ristic AD. Pericardial diseases. In: Camm AJ, Lüscher TF, Serruys P, editors. The ESC textbook of cardiovascular medicine. Blackwell Publishing; 2006. p. 517–34. Massachusetts, USA.Google Scholar
  38. 38.
    Mangi AA, Torchiana DF. Pericardial disease. In: Cohn LH, editor. Cardiac surgery in the adult. 3rd ed. New York: McGraw-Hill; 2008. p. 1465–78.Google Scholar
  39. 39.
    Manika K, Efthymiou C, Damianidis G, et al. Miliary tuberculosis in a patient with tuberculous mycotic aneurysm of the abdominal aorta: case report and review of the literature. Respir Med Case Rep. 2017;21:30–5.  https://doi.org/10.1016/j.rmcr.2017.03.010.CrossRefPubMedPubMedCentralGoogle Scholar
  40. 40.
    Mayosi BM, Burgess LJ, Doubell AF. Tuberculous pericarditis. Circulation. 2005;112:3608–16.  https://doi.org/10.1161/CIRCULATIONAHA.105.543066.CrossRefPubMedGoogle Scholar
  41. 41.
    Michira BN, Alkizim FO, Matheka DM. Patterns and clinical manifestations of tuberculous myocarditis: a systematic review of cases. Pan Afr Med J. 2015;21:118.  https://doi.org/10.11604/pamj.2015.21.118.4282.CrossRefPubMedPubMedCentralGoogle Scholar
  42. 42.
    Mohan A, Thachil A, Sundar G, et al. Ventricular tachycardia and tuberculous lymphadenopathy: Sign of myocardial tuberculosis? J Am Coll Cardiol. 2015;65:218–20.CrossRefGoogle Scholar
  43. 43.
    Mutyaba AK, Ntsekhe M. Tuberculosis and the heart. Cardiol Clin. 2017;35:135–44.  https://doi.org/10.1016/j.ccl.2016.08.007.CrossRefPubMedGoogle Scholar
  44. 44.
    Nezami N, Ghorbanihaghjo A, Rashtchizadeh N, et al. Atherogenic changes of low-density lipoprotein susceptibility to oxidation, and antioxidant enzymes in pulmonary tuberculosis. Atherosclerosis. 2011;217:268–73.  https://doi.org/10.1016/j.atherosclerosis.2011.03.025.CrossRefPubMedGoogle Scholar
  45. 45.
    Ntsekhe M, Wiysonge CS, Commerford PJ, Mayosi BM. The prevalence and outcome of effusive constrictive pericarditis: a systematic review of the literature. Cardiovasc J Afr. 2012;23:281–5.  https://doi.org/10.5830/CVJA-2011-072.CrossRefPubMedPubMedCentralGoogle Scholar
  46. 46.
    Ohtsuka T, Kotsuka Y, Yagyu K, et al. Tuberculous pseudoaneurysm of the thoracic aorta. Ann Thorac Surg. 1996;62:1831–4.CrossRefGoogle Scholar
  47. 47.
    Palaniswamy C, Kumar U, Selvaraj DR, et al. Tuberculous mycotic aneurysm of aortic root: an unusual cause of cardiac tamponade. Trop Dr. 2009;39:112–3.  https://doi.org/10.1258/td.2008.080199.CrossRefGoogle Scholar
  48. 48.
    Parkhurst GF, Dekcer JP. Bacterial aortitis and mycotic aneurysm of the aorta; a report of twelve cases. Am J Pathol. 1955;31:821–35.PubMedPubMedCentralGoogle Scholar
  49. 49.
    Pathirana U, Kularatne S, Karunaratne S, et al. Ascending aortic aneurysm caused by Mycobacterium tuberculosis. BMC Res Notes. 2015;8:659.  https://doi.org/10.1186/s13104-015-1667-x.CrossRefPubMedPubMedCentralGoogle Scholar
  50. 50.
    Rajesh S, Sricharan KN, Jayaprakash K, Monteiro FNP. Cardiac involvement in patients with pulmonary tuberculosis. J Clin Diagn Res. 2011;5:440–2.Google Scholar
  51. 51.
    Reuter H, Burgess L, van Vuuren W, Doubell A. Diagnosing tuberculous pericarditis. QJM. 2006;99:827–39.  https://doi.org/10.1093/qjmed/hcl123.CrossRefPubMedGoogle Scholar
  52. 52.
    Rota S, Rota S. Mycobacterium tuberculosis complex in atherosclerosis. Acta Med Okayama. 2005;59:247–51.PubMedGoogle Scholar
  53. 53.
    Roubille F, Gahide G, Granier M, et al. Likely tuberculous myocarditis mimicking an acute coronary syndrome. Intern Med. 2008;47:1699–701.CrossRefGoogle Scholar
  54. 54.
    Silingardi E, Rivasi F, Santunione AL, Garagnani L. Sudden death from tubercular myocarditis. J Forensic Sci. 2006;51:667–9.  https://doi.org/10.1111/j.1556-4029.2006.00117.x.CrossRefPubMedGoogle Scholar
  55. 55.
    Soto ME, Del Carmen Ávila-Casado M, Huesca-Gómez C, et al. Detection of IS6110 and HupB gene sequences of Mycobacterium tuberculosis and bovisin the aortic tissue of patients with Takayasu’s arteritis. BMC Infect Dis. 2012;12:194.  https://doi.org/10.1186/1471-2334-12-194.CrossRefPubMedPubMedCentralGoogle Scholar
  56. 56.
    Soto ME, Vargas-Alarcón G, Cicero-Sabido R, et al. Comparison distribution of HLA-B alleles in Mexican patients with Takayasu arteritis and tuberculosis. Hum Immunol. 2007;68:449–53.  https://doi.org/10.1016/j.humimm.2007.01.004.CrossRefPubMedGoogle Scholar
  57. 57.
    Trautner BW, Darouiche RO. Tuberculous pericarditis: optimal diagnosis and management. Clin Infect Dis. 2001;33:954–61.  https://doi.org/10.1086/322621.CrossRefPubMedGoogle Scholar
  58. 58.
    Vaideeswar P, Deshpande JR. Pathology of Takayasu arteritis: a brief review. Ann Pediatr Cardiol. 2013;6:52–8.  https://doi.org/10.4103/0974-2069.107235.CrossRefPubMedPubMedCentralGoogle Scholar
  59. 59.
    Walters HM, Aguiar CL, MacDermott EJ, et al. Takayasu arteritis presenting in the context of active tuberculosis. J Clin Rheumatol. 2013;19:344–7.  https://doi.org/10.1097/RHU.0b013e31829ce750.CrossRefPubMedGoogle Scholar
  60. 60.
    Zhang C, Chen B, Gu Y, et al. Tuberculous abdominal aortic pseudoaneurysm with renal and vertebral tuberculosis: a case and literature review. J Infect Dev Ctries. 2014;8:1216–21.CrossRefGoogle Scholar
  61. 61.
    Zhang Y, Xiong Q, Hu X, et al. A novel atherogenic epitope from Mycobacterium tuberculosis heat shock protein 65 enhances atherosclerosis in rabbit and LDL receptor-deficient mice. Heart Vessel. 2012;27:411–8.  https://doi.org/10.1007/s00380-011-0183-8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Halil Fatih Aşgün
    • 1
  • Bahadır Kırılmaz
    • 2
  1. 1.Canakkale Onsekiz Mart University, Department of Cardiovascular SurgeryCanakkaleTurkey
  2. 2.Canakkale Onsekiz Mart University, Department of CardiologyCanakkaleTurkey

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