Cardiac sarcoidosis presenting as multiple right intra-atrial masses mimicking cardiac tumor.

IF 3.2 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Cardio-oncology Pub Date : 2024-08-08 DOI:10.1186/s40959-024-00251-z
Jay Gohri, Harshvardhan Luthra, Khushboo Qureshi, Karnati Prudhveer Reddy
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Abstract

Background: Cardiac sarcoidosis though in itself, a rare entity, very rarely presents primarily with conduction abnormalities as the primary manifestation in the spectrum of presentations accounted by this chronic granulomatous systemic disease. Sarcoidosis presenting as intra-atrial masses is virtually unheard of.

Case: A middle aged female presented with progressive conduction system disease was found to have right atrial masses of unclear etiologic on relevant imaging. Over the course of 3 months she underwent a dual-chamber ICD implant for her eventual complete heart block and a surgical resection following an inconclusive biopsy of the right atrial free wall mass. She was then diagnosed with cardiac sarcoidosis and started on immunosupressants almost instantaneously as a part of her treatment.

Conclusion: This is an entirely new and unreported presentation of cardiac sarcoidosis as an intra-atrial mass. Through this case we bring light to cardiac sarcoidosis as a potential differential for intra-cardiac masses and how with available data do we go about treating it.

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心脏肉样瘤病表现为模仿心脏肿瘤的右心房内多发肿块。
背景:心脏肉样瘤病虽然本身是一种罕见的疾病,但在这种慢性肉芽肿性全身性疾病的各种表现中,很少以传导异常为主要表现。以心房内肿块为主要表现的肉样瘤病几乎闻所未闻:病例:一名中年女性因进行性传导系统疾病就诊,相关影像学检查发现其右心房肿块病因不明。在 3 个月的时间里,她接受了双腔 ICD 植入术以治疗最终的完全性心脏传导阻滞,并在对右心房游离壁肿块进行活检后接受了手术切除。随后,她被诊断出患有心脏肉样瘤病,并几乎立即开始服用免疫抑制剂作为治疗的一部分:结论:这是一个全新的、从未报道过的心脏肉样瘤病心房内肿块病例。通过这个病例,我们了解到心脏肉样瘤病是心脏内肿块的潜在鉴别病症,以及我们如何利用现有数据对其进行治疗。
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来源期刊
Cardio-oncology
Cardio-oncology Medicine-Cardiology and Cardiovascular Medicine
CiteScore
5.00
自引率
3.00%
发文量
17
审稿时长
7 weeks
期刊最新文献
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