Cardiac sarcoidosis mimicking left ventricular noncompaction: An approach to acquired apical hypertrabeculation. Issue 4 (4th March 2019)

• Record Type: Journal Article
• Authors: Nagai, Tomoo; Horinouchi, Hitomi; Kitayama, Azusa; Ikari, Yuji
• Is Part Of: Echocardiography. Volume 36:Issue 4(2019)
• Page Start: 791
• Page End: 793
• Publication Date: 2019-03-04
• Subjects: 2D echocardiography -- cardiomyopathy; Echocardiography -- Periodicals; Echocardiography -- Periodicals; 616.1207543
• DOI: 10.1111/echo.14288
• Languages: English
• ISSNs: 0742-2822

Abstract

Abstract : A 65‐year‐old asymptomatic woman, who had been pathologically diagnosed with pulmonary sarcoidosis, was admitted for further evaluation of possible cardiac involvement. Her echocardiography demonstrated the development of apical hypertrabeculation that was not observed 5 years previously. Cardiac magnetic resonance imaging revealed late gadolinium enhancement in the same region. Gallium single photon‐missioned computed tomography/computed tomography revealed high uptake. Therefore, the diagnosis of active cardiac sarcoidosis was established, and subsequent treatment with corticosteroid was initiated. No study regarding acquired left ventricular hypertrabeculation associated with cardiac sarcoidosis has been reported. The integrated multi‐imaging modality approach helped in earlier recognition of cardiac sarcoidosis.