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