Avtor/Urednik     Thangam, Manoj; Nathan, Sriram; Kar, Biswajit; Petrovic, Marija; Loyalka, Pranav; Buja, L. Maximilian; Gregorič, Igor
Naslov     Primary cardiac sarcoidosis with syncope and refractory atrial arrhythmia
Tip     članek
Vol. in št.     Letnik 43, št. 3
Leto izdaje     2016
Obseg     str. 236-240
ISSN     0730-2347 - Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital
Jezik     eng
Abstrakt     We discuss the case of a 38-year-old black man who presented at our hospital with his first episode of syncope, recently developed atrial arrhythmias refractory to pharmacologic therapy, and a left atrial thrombus. He was diagnosed with primary cardiac sarcoidosis characterized by predominant involvement of the epicardium that caused atrial fibrillation and atrial flutter. Histologic analysis of his epicardial lesions yielded a diagnosis of sarcoidosis. This patient's atrial arrhythmia was successfully treated with a hybrid operation that involved resection of his atrial appendage, an Epicor maze procedure, and radiofrequency ablation during a catheter-based electrophysiologic study. The cardiac sarcoidosis was successfully managed with corticosteroid therapy. Our case report shows that sarcoidosis can initially manifest itself as syncope with new-onset atrial arrhythmia. Sarcoidosis is important in the differential diagnosis because of its progressive nature and its potential for treatment with pharmacologic, surgical, and catheter-based interventions.
Proste vsebinske oznake     atrial fibrillation
fibrosis
sarcoidosis
atrijska fibrilacija
fibroza
sarkoidoza