title: [A rare cause of heart failure].
abstract: We report the case of a 52 years old patient with dilated cardiomyopathy. Ischemic heart disease was excluded by coronary angiography. However, bilateral hilar lymphadenopathy was present on plain chest radiography. Transbronchial biopsy showed non-necrotizing, epitheloid cell granulomas and thus sarcoidosis was diagnosed. A MRI of the heart confirmed the cardiac involvement by the sarcoidosis with corresponding structural changes.
authors.affiliation: Universitätsklinik für Thoraxchirurgie, Inselspital, Universitätsspital Bern.
authors.forename: Andreas
authors.initials: A
authors.lastname: Gutersohn
authors.affiliation: Universitätsklinik für Allgemeine Innere Medizin, Inselspital, Universitätsspital Bern.
authors.forename: Andreas
authors.initials: A
authors.lastname: Oestmann
mesh_terms: D001707:Biopsy, Needle; D009202:Cardiomyopathies / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D004417:Dyspnea / Q000209:etiology* / Q000473:pathology; D005260:Female; D006333:Heart Failure / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008168:Lung / Q000473:pathology; D008875:Middle Aged; D012507:Sarcoidosis / Q000175:diagnosis* / Q000473:pathology; D017565:Sarcoidosis, Pulmonary / Q000175:diagnosis* / Q000473:pathology; D012680:Sensitivity and Specificity; D018487:Ventricular Dysfunction, Left / Q000209:etiology* / Q000473:pathology
keywords: Herzinsuffizienz; bihiläre Lymphadenopathie; bilateral hilar lymphadenopathy; cardiac sarcoidosis; epitheloidzellige, nicht-nekrotisierende Granulome; heart failure; kardiale Sarkoidose; non-necrotizing, epitheloid cell granuloma; transbronchial biopsy; transbronchiale Biopsie