Life threating onset of Cardiac Sarcoidosis with mediastinal involvement

Life threating onset of Cardiac Sarcoidosis with mediastinal involvement

Authors

  • Marcello Ciuffreda S.M.Goretti Hospital, ASL Latina
  • Valentina Valenti
  • Giuseppe Manfrè
  • Antonio Barberi
  • Patrizia Porzi
  • Francesco Versaci
  • Antonella Sarni

Keywords:

EBUS TBNA, Acute respiratory failure, Cardiac arrhythmias, Cardiac failure

Abstract

We have described a clinical case with atypical onset of sarcoidosis. A young patient presented to the emergency room with acute heart failure and severe cardiac dysfunction simulating dilated cardiomyopathy or severe myocarditis. Hypoxic respiratory failure refractory to oxygen therapy was treated with steroids. The diagnosis was made by a multidisciplinary team who decided to perform EndoBronchial UltraSound-guided TransBronchial Needle Aspiration (EBUS TBNA) in addition to a cardiac MRI. The result was to obtain, in this case, a prompt therapeutic response in order to preserve the patient cardiac function.

 

References

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Nordenswan HK, Lehtonen J, Ekström K, et al. Manifestations and Outcome of Cardiac Sarcoidosis and Idiopathic Giant Cell Myocarditis by 25-Year Nationwide Cohorts. J Am Heart Assoc. 2021 Mar 16;10(6):e019415. doi: 10.1161/JAHA.120.019415.

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Published

13-09-2023

Issue

Section

Case Reports

How to Cite

1.
Ciuffreda M, Valenti V, Manfrè G, Barberi A, Porzi P, Versaci F, et al. Life threating onset of Cardiac Sarcoidosis with mediastinal involvement. Sarcoidosis Vasc Diffuse Lung Dis [Internet]. 2023 Sep. 13 [cited 2025 Apr. 10];40(3):e2023042. Available from: https://mattioli1885journals.com/index.php/sarcoidosis/article/view/14519