Successful surgical treatment for dilated cardiomyopathy with cardiac sarcoidosis.

Daimon, Masahiro; Sasaki, Tomoyasu; Woo, Eiki; Ozawa, Hideki; Morimoto, Tomoshige; Katsumata, Takahiro · Ann Thorac Surg · 2007

case_report · Level V

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Abstract

We report a surgical case of severe left ventricular dysfunction due to cardiac sarcoidosis. A 45-year-old man who underwent pacemaker implantation for complete atrioventricular block was admitted to the hospital because of dyspnea due to congestive heart failure. Echocardiography revealed a left ventricular ejection fraction of 11%, with severe mitral insufficiency and thinning of the ventricular septum. He was successfully treated by anteroseptal ventricular exclusion, mitral and tricuspid annuloplasty, and bi-ventricular pacing. Postoperative pathologic study revealed noncaseating granulomas. The patient was referred to a cardiologist for further treatment with prednisone.

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