Document Detail

Cardiac sarcoidosis with primary involvement of the tricuspid valve.
MedLine Citation:
PMID:  16924157     Owner:  NLM     Status:  MEDLINE    
Sarcoid granulomas usually involve the myocardium with rare focal extensions into the pericardium and endocardium with resultant conduction defects, ventricular arrhythmias, and ventricular systolic and diastolic dysfunction. Primary involvement of valvular leaflets resulting in valvular regurgitation or stenosis is not known. We present a case of a wastewater consultant who developed tricuspid regurgitation and symptomatic atrioventricular block secondary to infiltration of tricuspid leaflets and conduction system from sarcoid granulomas. The patient later developed severe dilated cardiomyopathy as a result of extensive cardiac sarcoidosis necessitating cardiac transplantation. Valvular regurgitation should be included as one of the presenting manifestations of cardiac sarcoidosis.
Sanjeev B Goyal; Jayashri R Aragam
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Cardiology in review     Volume:  14     ISSN:  1538-4683     ISO Abbreviation:  Cardiol Rev     Publication Date:    2006 Sep-Oct
Date Detail:
Created Date:  2006-08-22     Completed Date:  2006-09-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9304686     Medline TA:  Cardiol Rev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e12-3     Citation Subset:  IM    
Cardiac Electrophysiology, Department of Cardiology, Fallon Clinic, Worcester, Massachusetts 01608, USA.
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MeSH Terms
Cardiomyopathies / diagnosis,  pathology*,  physiopathology
Heart Block / pathology,  physiopathology
Heart Conduction System / pathology,  physiopathology
Middle Aged
Sarcoidosis / diagnosis,  pathology*,  physiopathology
Tricuspid Valve / pathology*,  physiopathology
Tricuspid Valve Insufficiency / pathology,  physiopathology

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