Successful surgical treatment for dilated cardiomyopathy with cardiac sarcoidosis.
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.
Daimon
Masahiro
M
Department of Thoracic and Cardiovascular Surgery, Osaka Medical College, Daigakumachi, Takatsuki, Osaka, Japan. m-daimon@jg7.so-net.ne.jp <m-daimon@jg7.so-net.ne.jp>
Sasaki
Tomoyasu
T
Woo
Eiki
E
Ozawa
Hideki
H
Morimoto
Tomoshige
T
Katsumata
Takahiro
T
D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017548:Echocardiography, Transesophageal; D006327:Heart Block / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D012507:Sarcoidosis / Q000150:complications* / Q000000981:diagnostic imaging; D016896:Treatment Outcome