Cardiac Sarcoidosis Mimicking Right Ventricular Dysplasia
スポンサーリンク
概要
- 論文の詳細を見る
A 59-year-old woman with skin sarcoidosis was admitted to hospital for assessment of complete atrioventricular block. Cross-sectional echocardiography showed that the apical free wall of the right ventricle was thin and dyskinetic with dilation of the right ventricle. Thallium-201 myocardial imaging revealed a normal distribution. Both gallium-67 and technetium-99m pyrophosphate scintigraphy revealed no abnormal uptake in the myocardium. Right ventriculography showed chamber dilation and dyskinesis of the apical free wall, whereas left ventriculography showed normokinesis, mimicking right ventricular dysplasia. Cardiac sarcoidosis was diagnosed on examination of an endomyocardial biopsy specimen from the right ventricle. A permanent pacemaker was implanted to manage the complete atrioventricular block. After steroid treatment, electrocardiography showed first-degree atrioventricular block and echocardiography revealed an improvement in the right ventricular chamber dilation. Reports of cardiac sarcoidosis mimicking right ventricular dysplasia are extremely rare and as this case shows, right ventricular involvement may be one of its manifestations.
- 社団法人日本循環器学会の論文
- 2003-01-20
著者
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AZUMA Akihiro
Department of Cardiology, National Shiga Hospital
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Shiga Koji
AMI-Kyoto Multi-Center Risk Study Group
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Nakagawa Masao
Second Department Of Internal Medicine Kyoto Prefectural University Of Medicine
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Azuma A
Department Of Cardiology National Shiga Hospital
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Shiraishi Jun
Department Of Cardiology Kyoto First Red Cross Hospital
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Tatsumi Tetsuya
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
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Shiraishi Jun
Second Department of Medicine, Kyoto Prefectural University of Medicine
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Tatsumi Tetsuya
Second Department of Medicine, Kyoto Prefectural University of Medicine
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Azuma Akihiro
Second Department of Medicine, Kyoto Prefectural University of Medicine
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Katoh S
Ami-kyoto Multi-center Risk Study Group
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Nakagawa Masao
京都府立医科大学 内科学第2
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Nakagawa Masao
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Shirayama Takeshi
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Shiga Koji
Depertment Of Medicine Meiji University Of Oriental Medicine
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Katsume Asako
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Kobara Miyuki
Departments Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Kobara Miyuki
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Kobara Miyuki
Second Department of Medicine, Kyoto Prefectural University of Medicine
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Shimoo Kazutoshi
Depertment of Medicine Meiji University of Oriental Medicine
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Mani Hiroki
Second Department of Medicine, Kyoto Prefectural University of Medicine
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SHIMOO KAZUTOSHI
Department of Medicine,Meiji College of Oriental Medicine
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Nakagawa M
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Tatsumi Tetsuya
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Tanda Syuji
Division Of Hypertension And Nephrology Department Of Internal Medicine Kyoto Prefectural University
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Miyoshi Hironori
Cardiovascular Division Department Of Medicine Ii Kansai Medical University
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Azuma Akihiro
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Nakamura Mitsuo
Internal Medicine Social Insurance Kobe Central Hospital And The Second Department Of Medicine Kyoto
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Nakagawa Masao
Second Department Of Internal Medicine Kyoto Prefectural Medical College
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AZUMA Akihiro
Second Department of Medicine and, Kyoto Prefectural University of Medicine
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