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Ann Thorac Surg 2007;84:e12-e13
© 2007 The Society of Thoracic Surgeons


Case Reports

Successful Surgical Treatment for Dilated Cardiomyopathy With Cardiac Sarcoidosis

Masahiro Daimon, MD, PhD*, Tomoyasu Sasaki, MD, Eiki Woo, MD, Hideki Ozawa, MD, Tomoshige Morimoto, MD, Takahiro Katsumata, MD, PhD

Department of Thoracic and Cardiovascular Surgery, Osaka Medical College, Daigakumachi, Takatsuki, Osaka, Japan

Accepted for publication April 13, 2007.

* Address correspondence to Dr Daimon, Department of Thoracic and Cardiovascular Surgery, Osaka Medical College, 2-7, Daigakumachi, Takatsuki, Osaka, 569-8686, Japan (Email: m-daimon{at}jg7.so-net.ne.jp).

We report a surgical case of severe left ventricular dysfunction due to cardiac sarcoidosis. A 45-year-old man who underwent pacemaker implantation for complete atrioventricular block was admitted to the hospital because of dyspnea due to congestive heart failure. Echocardiography revealed a left ventricular ejection fraction of 11%, with severe mitral insufficiency and thinning of the ventricular septum. He was successfully treated by anteroseptal ventricular exclusion, mitral and tricuspid annuloplasty, and bi-ventricular pacing. Postoperative pathologic study revealed noncaseating granulomas. The patient was referred to a cardiologist for further treatment with prednisone.




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J. Thorac. Cardiovasc. Surg.Home page
T. Shimamoto, T. Nishina, A. Marui, and M. Komeda
Dual left ventricular restorations in a patient with cardiac sarcoidosis.
J. Thorac. Cardiovasc. Surg., May 1, 2009; 137(5): 1286 - 1288.
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