Cardiac sarcoid remains a challenging diagnostic entity. Electrical abnormalities in sarcoid myocarditis range from heart blocks to lethal ventricular tachycardias. Sarcoid granulomas have predilection for left ventricular side and basal septum in cardiac involvement. We present a case of sarcoid myocarditis presenting as mass involving the entire right ventricular side of the interventricular septum.
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Article Synopsis
- Giant cell myocarditis (GCM) and cardiac sarcoidosis have similar symptoms and tissue characteristics, leading to questions about their relationship on the inflammatory cardiomyopathy spectrum.
- The case involves a patient who experienced cardiogenic shock linked to GCM, confirmed by biopsy.
- After a heart transplant, the patient was diagnosed with sarcoidosis using 18-fluorodeoxyglucose PET imaging and another biopsy.
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