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A Journal on Surgery

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Chirurgia 2008 February;21(1):21-3

language: English

Mitral valve replacement and biventricular pacing for cardiac sarcoidosis

Doi A., Takahara Y., Mogi K., Hatakeyama M.

Department of Cardiovascular Surgery Funabashi Municipal Medical Center Kanasugi Funabashi, Chiba, Japan


Cardiac sarcoidosis is very difficult to diagnose clinically, due to its non-specific features. It is also associated with poor prognosis. Although corticosteroids remain the mainstream of treatment, other therapeutic modalities must be considered. A 60-year-old female was admitted to our hospital with a clinical diagnosis of cardiac sarcoidosis. The patient had severe mitral valve regurgitation, moderate tricuspid valve regurgitation, and severe congestive heart failure and was unable to taper from catecholamines. Mitral valve replacement, tricuspid annuloplasty, and biventricular pacing lead implantation were performed. The patient is free from catecholamines and is doing well 9 months after the operation. Surgical treatment for cardiac sarcoidosis in the presence of mitral regurgitation, resistant arrhythmia, or heart failure is effective and should be considered especially in cases where transplantation is not available.

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