Cardiac Sarcoidosis Culminating in Severe Biventricular Failure

Autor: Takefumi Ozaki, Noritomo Ohnuma, Norihiro Shimizu, Atsushi Hasegawa, Masashi Horimoto
Jazyk: angličtina
Rok vydání: 2009
Předmět:
Zdroj: Case Reports in Medicine, Vol 2009 (2009)
Druh dokumentu: article
ISSN: 1687-9627
1687-9635
DOI: 10.1155/2009/856785
Popis: A 59-year-old woman with a history of lung sarcoidosis developed general edema and exertional dyspnea. An electrocardiogram showed first-degree atrioventricular block with complete right bundle branch block. Chest X-ray showed cardiomegaly. Echocardiography showed diffuse and severe hypokinesis of the left ventricle (LV) and biventricular enlargement with severe tricuspid regurgitation. Myocardial scintigraphy disclosed a perfusion defect at the ventricular septum and hypoperfusion at the posterior wall and the apex. On cardiac catheterization, pulmonary capillary wedge pressure, right ventricular, and right atrial pressures were elevated. Coronary angiograms were normal. Myocardial biopsy of the right ventricle histologically revealed epithelioid cell granuloma with infiltration of fibrous cells. The patient's symptom and LV function were improved with conventional medical therapy for heart failure. This is a rare case of cardiac sarcoidosis resulting in biventricular failure.
Databáze: Directory of Open Access Journals
Externí odkaz: