| Literature DB >> 27278945 |
Tomizo Masuno1, Kumiko Hirata2, Nozomi Wada1, Haruka Endo1, Kazushi Takemoto1, Tsuyoshi Nishiguchi1, Ikuko Teraguchi1, Naoki Maniwa1, Aiko Shimokado1, Manabu Kashiwagi1, Hiroto Tsujioka1, Hideyuki Ikejima1, Akio Kuroi1, Kohei Ishibashi1, Kenichi Komukai1, Takashi Tanimoto1, Yasushi Ino1, Hironori Kitabata1, Keizo Kimura1, Toshio Imanishi1, Takashi Akasaka1.
Abstract
A 47-year-old woman was hospitalized for syncope. An electrocardiogram showed complete right bundle branch block and T-wave inversion in leads III, aVF, and V2-4. Cardiac catheterization was performed since the echocardiogram demonstrated the existence of a left ventricular apical aneurysm and apical thrombus. Coronary angiography revealed normal coronary arteries. An endomyocardial biopsied specimen from the right ventricular apical wall demonstrated typical noncaseating granulomas with giant cells. There was no evidence suggesting the involvement of other systemic organs. The patient was diagnosed as having cardiac sarcoidosis. Cardiac sarcoidosis should be considered within a spectrum of diseases that cause left ventricular apical aneurysm.Entities:
Keywords: Cardiac sarcoidosis; Left ventricular aneurysm; Left ventricular apical thrombus; Nonsustained ventricular tachycardia
Year: 2010 PMID： 27278945 DOI： 10.1007/s12574-010-0046-9
Source DB: PubMed Journal: J Echocardiogr ISSN： 1349-0222