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Cardiac sarcoidosis mimicking left ventricular noncompaction: An approach to acquired apical hypertrabeculation
Author(s) -
Nagai Tomoo,
Horinouchi Hitomi,
Kitayama Azusa,
Ikari Yuji
Publication year - 2019
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14288
Subject(s) - cardiac sarcoidosis , medicine , asymptomatic , sarcoidosis , cardiac magnetic resonance imaging , magnetic resonance imaging , cardiology , cardiac magnetic resonance , radiology
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.