Cardiac sarcoidosis mimicking left ventricular noncompaction: An approach to acquired apical hypertrabeculation

Echocardiography. 2019 Apr;36(4):791-793. doi: 10.1111/echo.14288. Epub 2019 Mar 4.

Abstract

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.

Keywords: 2D echocardiography; cardiomyopathy.

Publication types

  • Case Reports

MeSH terms

  • Adrenal Cortex Hormones / therapeutic use
  • Aged
  • Cardiomyopathies / diagnostic imaging*
  • Cardiomyopathies / drug therapy
  • Diagnosis, Differential
  • Echocardiography / methods*
  • Female
  • Heart Defects, Congenital
  • Heart Ventricles
  • Humans
  • Sarcoidosis / diagnostic imaging*
  • Sarcoidosis / drug therapy

Substances

  • Adrenal Cortex Hormones

Supplementary concepts

  • Noncompaction of Left Ventricular Myocardium with Congenital Heart Defects