Department of Pulmonary and Critical Care Medicine, University of Southern California/Los Angeles County Medical Center, Los Angeles, California 90012, USA. bobabrishami@yahoo.com
PURPOSE OF REVIEW: The purpose of discussing this rare clinical presentation is to provide an opportunity to review difficulties encountered in diagnosing myocardial sarcoidosis. RECENT FINDINGS: Recent advances in diagnosis and management of cardiac sarcoidosis are discussed in this article. SUMMARY: A 45-year old man was brought to the emergency department after he fainted in a marketplace. An electrocardiogram showed a complete heart block; an echocardiogram revealed a large atrial mass consistent with the appearance of a myxoma. A biopsy of the cardiac mass showed noncaseating granuloma.