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Cardiac sarcoidosis presenting as arrhythmogenic right ventricular cardiomyopathy/dysplasia with ventricular aneurysms: a case report.
Cardiovasc Pathol. 2018 Mar - Apr; 33:1-5.CP

Abstract

A 70-year old Caucasian man with recurrent ventricular tachycardia and progressive biventricular failure attributed to arrhythmogenic right ventricular cardiomyopathy/dysplasia was evaluated for heart transplantation. Cardiac ventriculography revealed an abnormal left ventricle with five saccular aneurysms. Heart transplantation was performed. Pathology of the explanted heart showed multifocal sarcoid granulomas. Replacement fibrosis was widespread in both ventricles and associated with saccular aneurysms. No genetic basis was identified. Thus, the evidence suggested progressive cardiac sarcoidosis caused this patient's unusual condition.

Authors+Show Affiliations

Center for Advanced Heart Failure, The University of Texas Health Science Center at Houston/Memorial Hermann Hospital - Texas Medical Center, 6400 Fannin St, Suite 2350, Houston, TX 77030.Department of Pathology and Laboratory Medicine, The University of Texas Health Science Center at Houston/Memorial Hermann Hospital - Texas Medical Center, 6431 Fannin St, Houston, TX 77030.Center for Advanced Heart Failure, The University of Texas Health Science Center at Houston/Memorial Hermann Hospital - Texas Medical Center, 6400 Fannin St, Suite 2350, Houston, TX 77030.Center for Advanced Heart Failure, The University of Texas Health Science Center at Houston/Memorial Hermann Hospital - Texas Medical Center, 6400 Fannin St, Suite 2350, Houston, TX 77030.Center for Advanced Heart Failure, The University of Texas Health Science Center at Houston/Memorial Hermann Hospital - Texas Medical Center, 6400 Fannin St, Suite 2350, Houston, TX 77030.Department of Pathology and Laboratory Medicine, The University of Texas Health Science Center at Houston/Memorial Hermann Hospital - Texas Medical Center, 6431 Fannin St, Houston, TX 77030.Center for Advanced Heart Failure, The University of Texas Health Science Center at Houston/Memorial Hermann Hospital - Texas Medical Center, 6400 Fannin St, Suite 2350, Houston, TX 77030.Center for Advanced Heart Failure, The University of Texas Health Science Center at Houston/Memorial Hermann Hospital - Texas Medical Center, 6400 Fannin St, Suite 2350, Houston, TX 77030.Center for Advanced Heart Failure, The University of Texas Health Science Center at Houston/Memorial Hermann Hospital - Texas Medical Center, 6400 Fannin St, Suite 2350, Houston, TX 77030.Center for Advanced Heart Failure, The University of Texas Health Science Center at Houston/Memorial Hermann Hospital - Texas Medical Center, 6400 Fannin St, Suite 2350, Houston, TX 77030.Center for Advanced Heart Failure, The University of Texas Health Science Center at Houston/Memorial Hermann Hospital - Texas Medical Center, 6400 Fannin St, Suite 2350, Houston, TX 77030. Electronic address: Igor.D.Gregoric@uth.tmc.edu.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

29245138

Citation

Petrovic, Marija, et al. "Cardiac Sarcoidosis Presenting as Arrhythmogenic Right Ventricular Cardiomyopathy/dysplasia With Ventricular Aneurysms: a Case Report." Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology, vol. 33, 2018, pp. 1-5.
Petrovic M, Buja LM, Kar B, et al. Cardiac sarcoidosis presenting as arrhythmogenic right ventricular cardiomyopathy/dysplasia with ventricular aneurysms: a case report. Cardiovasc Pathol. 2018;33:1-5.
Petrovic, M., Buja, L. M., Kar, B., Colnaric, J., Damaraju, S., Zhao, B., Akkanti, B., Radovanovic, M., Radovancevic, R., Loyalka, P., & Gregoric, I. D. (2018). Cardiac sarcoidosis presenting as arrhythmogenic right ventricular cardiomyopathy/dysplasia with ventricular aneurysms: a case report. Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology, 33, 1-5. https://doi.org/10.1016/j.carpath.2017.11.001
Petrovic M, et al. Cardiac Sarcoidosis Presenting as Arrhythmogenic Right Ventricular Cardiomyopathy/dysplasia With Ventricular Aneurysms: a Case Report. Cardiovasc Pathol. 2018 Mar - Apr;33:1-5. PubMed PMID: 29245138.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cardiac sarcoidosis presenting as arrhythmogenic right ventricular cardiomyopathy/dysplasia with ventricular aneurysms: a case report. AU - Petrovic,Marija, AU - Buja,L Maximilian, AU - Kar,Biswajit, AU - Colnaric,Jure, AU - Damaraju,Sarita, AU - Zhao,Bihong, AU - Akkanti,Bindu, AU - Radovanovic,Milan, AU - Radovancevic,Rajko, AU - Loyalka,Pranav, AU - Gregoric,Igor D, Y1 - 2017/11/10/ PY - 2016/03/28/received PY - 2017/08/04/revised PY - 2017/11/02/accepted PY - 2017/12/16/pubmed PY - 2018/8/29/medline PY - 2017/12/16/entrez KW - ARVD KW - Cardiac sarcoidosis KW - Heart transplantation KW - Ventricular aneurysms SP - 1 EP - 5 JF - Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology JO - Cardiovasc Pathol VL - 33 N2 - A 70-year old Caucasian man with recurrent ventricular tachycardia and progressive biventricular failure attributed to arrhythmogenic right ventricular cardiomyopathy/dysplasia was evaluated for heart transplantation. Cardiac ventriculography revealed an abnormal left ventricle with five saccular aneurysms. Heart transplantation was performed. Pathology of the explanted heart showed multifocal sarcoid granulomas. Replacement fibrosis was widespread in both ventricles and associated with saccular aneurysms. No genetic basis was identified. Thus, the evidence suggested progressive cardiac sarcoidosis caused this patient's unusual condition. SN - 1879-1336 UR - https://www.unboundmedicine.com/medline/citation/29245138/Cardiac_sarcoidosis_presenting_as_arrhythmogenic_right_ventricular_cardiomyopathy/dysplasia_with_ventricular_aneurysms:_a_case_report_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1054-8807(17)30304-6 DB - PRIME DP - Unbound Medicine ER -