Utility of cardiac magnetic resonance in assessing right-sided heart failure in sarcoidosis

BMC Medical Imaging

Case Report

Anthony Gill¹  Jacob Lønborg²  Gemma A Figtree³  Michael Ward³  Stuart M Grieve⁴ 

[1] Department of Pathology, Royal North Shore Hospital, Sydney, Australia;North Shore Heart Research Group, Kolling Institute of Medical Research, University of Sydney, Sydney, Australia;Department of Cardiology, Rigshospitalet, Copenhagen, Denmark;North Shore Heart Research Group, Kolling Institute of Medical Research, University of Sydney, Sydney, Australia;Department of Cardiology, Royal North Shore Hospital, 2065, St Leonards, NSW, Australia;North Shore Heart Research Group, Kolling Institute of Medical Research, University of Sydney, Sydney, Australia;Department of Radiology, Royal Prince Alfred Hospital, Sydney, Australia;

关键词: Myocardial sarcoidosis;    Cardiac magnetic resonance;    Heart failure;    Cardiomyopathy;   

DOI  :  10.1186/1471-2342-13-2

 received in 2012-05-22, accepted in 2012-12-31,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundCardiac involvement in sarcoidosis is associated with a poor prognosis. In patients with right sided heart failure, differentiating between cor-pulmonale, or cardiac sarcoidosis has important implications to management.Case presentationWe present the case of a patient with severe but stable pulmonary sarcoidosis and new onset right sided heart failure despite only mild elevations of pulmonary artery pressure. CMR demonstration of extensive right ventricular fibrosis with associated dilatation and hypokinesis was a key finding for prognosis and management of the patient.ConclusionCardiac magnetic resonance (CMR) is the preferred investigation in the diagnosis of cardiac sarcoidosis, allowing assessment of myocardial inflammation and fibrosis, as well as function, in a manner not matched by other technologies.

【 授权许可】

Unknown   
© Lønborg et al; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.