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Updated: Oct 7, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
Published on: February 8, 2022
Transesophageal echocardiographic abnormalities in a case of cardiac sarcoidosis
L A Hourigan1, D J Burstow, P Pohlner
1Department of Cardiology, The Prince Charles Hospital, Rode Road, Chermside, Brisbane, Australia. burstowd@health.qld.gov.au
Insights
This study highlights a case of cardiac sarcoidosis, a rare granulomatous disease affecting the heart. Early diagnosis of cardiac sarcoidosis is challenging due to nonspecific symptoms and limited diagnostic tools.
Area of Science:
- Cardiology
- Immunology
- Pathology
Background:
- Sarcoidosis is a multisystem granulomatous disease.
- Cardiac involvement is common at autopsy but often missed antemortem.
- Clinical manifestations of cardiac sarcoidosis are nonspecific, complicating diagnosis.
Observation:
- A 62-year-old woman presented with clinically significant cardiac sarcoidosis.
- Echocardiographic abnormalities were observed in the patient.
- These specific echocardiographic findings were previously unreported in cardiac sarcoidosis.
Findings:
- The case demonstrates a challenging diagnosis of cardiac sarcoidosis.
- Echocardiography revealed previously undocumented abnormalities.
- This highlights the need for improved diagnostic strategies.
Implications:
- Improved diagnostic methods for cardiac sarcoidosis are needed.
- Echocardiography may offer new insights into cardiac sarcoidosis.
- This case contributes to understanding cardiac sarcoidosis presentations.
Abstract:
Sarcoidosis is a granulomatous disease that may involve multiple organ systems, including the heart. Manifestations include atrial and ventricular arrhythmias, conduction abnormalities, congestive cardiac failure, pericarditis, and sudden death. Whereas cardiac involvement is a relatively common finding at autopsy, antemortem diagnosis is often missed because the clinical manifestations are nonspecific, and the sensitivity and specificity of investigations are low. We report a case of a 62-year-old woman who had clinically significant cardiac sarcoidosis associated with echocardiographic abnormalities that had not been reported previously in association with this condition.
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