Fulminant isolated cardiac sarcoidosis with pericardial effusion and acute heart failure: Challenging aspects of diagnosis and treatment

作     者：Nina Fluschnik Gunnar Lund Peter Moritz Becher Stefan Blankenberg Kai Muellerleile 

作者机构：Department of General and Interventional Cardiology University Heart Center Department of Diagnostic and Interventional Radiology University Medical Center Hamburg Eppendorf 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2016年第4卷第3期

页      面：76-80页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Heart failure Cardiac sarcoidosis Cardiovascular magnetic resonance imaging Endomyocardial biopsy Internal cardiac defibrillator 

摘      要：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.