title: Cardiac sarcoidosis diagnosed by histological assessment of a left ventricular apical core excised for insertion of a left ventricular assist device.
abstract: A 58-year-old male with no history of heart disease was admitted to hospital for congestive heart failure due to severe left ventricular dysfunction, and clinically diagnosed with dilated cardiomyopathy. He developed recurrent heart failure requiring several admissions to hospital and was finally referred to our institution with severe congestive heart failure. Despite medical treatment with inotropic agents, his symptoms gradually worsened. A left ventricular assist device (LVAD) was implanted together with mitral and tricuspid valve repair at 22 days after hospitalization. A histological assessment of a left ventricular apical core specimen revealed non-caseating granulomas consistent with cardiac sarcoidosis. The postoperative course was uneventful, and he remains under cardiac rehabilitation while waiting for cardiac transplantation.
authors: Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, Shitsukawa, To-on, Ehime, 791-0295, Japan, ryugou@m.ehime-u.ac.jp.
authors: Masahiro
authors: M
authors: Ryugo
authors: Hironori
authors: H
authors: Izutani
authors: Toru
authors: T
authors: Okamura
authors: Fumiaki
authors: F
authors: Shikata
authors: Masahiro
authors: M
authors: Okura
authors: Yuki
authors: Y
authors: Nakamura
authors: Akiyoshi
authors: A
authors: Oogimoto
authors: Jitsuo
authors: J
authors: Higaki
mesh_terms: D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000473:pathology* / Q000601:surgery; D006333:Heart Failure / Q000209:etiology / Q000601:surgery*; D006352:Heart Ventricles / Q000473:pathology; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D012507:Sarcoidosis / Q000150:complications / Q000473:pathology* / Q000601:surgery
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