Cardiac sarcoidosis with presentation of large left atrial mass.
OBJECTIVE
The purpose of discussing this rare clinical presentation is to provide an opportunity to review difficulties encountered in diagnosing myocardial sarcoidosis.


RESULTS
Recent advances in diagnosis and management of cardiac sarcoidosis are discussed in this article.


CONCLUSIONS
A 45-year old man was brought to the emergency department after he fainted in a marketplace. An electrocardiogram showed a complete heart block; an echocardiogram revealed a large atrial mass consistent with the appearance of a myxoma. A biopsy of the cardiac mass showed noncaseating granuloma.
Abrishami
Bob
B
Department of Pulmonary and Critical Care Medicine, University of Southern California/Los Angeles County Medical Center, Los Angeles, California 90012, USA. bobabrishami@yahoo.com
O'Connel
Casey
C
Sharma
Om
O
D009202:Cardiomyopathies / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006099:Granuloma / Q000209:etiology*; D006325:Heart Atria / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D012507:Sarcoidosis / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery