title: Fulminant isolated cardiac sarcoidosis with pericardial effusion and acute heart failure: Challenging aspects of diagnosis and treatment.
abstract: This case report illustrates challenging aspects of diagnosis and treatment of isolated sarcoid heart disease (SHD) and the role of cardiovascular magnetic resonance (CMR) imaging. Here, we present a previously healthy 45-year-old man, who was admitted with pericardial effusion and symptoms of acute heart failure. CMR followed by targeted left ventricular endomyocardial biopsy (EMB) revealed the diagnosis of isolated SHD. The combined use of CMR and EMB was crucial in diagnosing SHD. Furthermore, this case report demonstrates the value of CMR for monitoring response to therapy and lesion healing.
authors.affiliation: Nina Fluschnik, Peter Moritz Becher, Stefan Blankenberg, Kai Muellerleile, Department of General and Interventional Cardiology, University Heart Center, 20246 Hamburg Eppendorf, Germany.
authors.forename: Nina
authors.initials: N
authors.lastname: Fluschnik
authors.affiliation: Nina Fluschnik, Peter Moritz Becher, Stefan Blankenberg, Kai Muellerleile, Department of General and Interventional Cardiology, University Heart Center, 20246 Hamburg Eppendorf, Germany.
authors.forename: Gunnar
authors.initials: G
authors.lastname: Lund
authors.affiliation: Nina Fluschnik, Peter Moritz Becher, Stefan Blankenberg, Kai Muellerleile, Department of General and Interventional Cardiology, University Heart Center, 20246 Hamburg Eppendorf, Germany.
authors.forename: Peter Moritz
authors.initials: PM
authors.lastname: Becher
authors.affiliation: Nina Fluschnik, Peter Moritz Becher, Stefan Blankenberg, Kai Muellerleile, Department of General and Interventional Cardiology, University Heart Center, 20246 Hamburg Eppendorf, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: Blankenberg
authors.affiliation: Nina Fluschnik, Peter Moritz Becher, Stefan Blankenberg, Kai Muellerleile, Department of General and Interventional Cardiology, University Heart Center, 20246 Hamburg Eppendorf, Germany.
authors.forename: Kai
authors.initials: K
authors.lastname: Muellerleile
keywords: Cardiac sarcoidosis; Cardiovascular magnetic resonance imaging; Endomyocardial biopsy; Heart failure; Internal cardiac defibrillator