Cardiac Sarcoidosis Initially Diagnosed as Spontaneous Coronary Artery Dissection

Hadil Zureigat; Rachel Frank; Viral S Shah; Vladislav Makarenko; William Hucker; Jennifer E Ho; Malissa J Wood; Michael T Osborne

doi:10.1016/j.jaccas.2021.05.017

Cardiac Sarcoidosis Initially Diagnosed as Spontaneous Coronary Artery Dissection

JACC Case Rep. 2021 Nov 3;3(15):1656-1660. doi: 10.1016/j.jaccas.2021.05.017.

Authors

Hadil Zureigat¹, Rachel Frank², Viral S Shah³, Vladislav Makarenko⁴, William Hucker², Jennifer E Ho², Malissa J Wood², Michael T Osborne^{1

2}

Affiliations

¹ Cardiovascular Imaging Research Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
² Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
³ Pulmonary and Critical Care Unit, Massachusetts General Hospital, Boston, Massachusetts, USA.
⁴ Department of Pathology, Massachusetts General Hospital, Boston, Massachusetts, USA.

Abstract

We present the case of a woman who developed presumed spontaneous coronary artery dissection of a septal branch. She later developed high-grade atrioventricular block that led to a diagnosis of cardiac sarcoidosis involving the interventricular septum. This case illustrates a rare and challenging presentation of cardiac sarcoidosis. (Level of Difficulty: Beginner.).

Keywords: AVB, atrioventricular block; CAD, coronary artery disease; CAG, coronary angiography; CS, cardiac sarcoidosis; CT, computed tomography; ECG, electrocardiogram; FDG, 18F-fluorodeoxyglucose; IVS, interventricular septum; PET, positron emission tomography; SCAD, spontaneous coronary artery dissection; TTE, transthoracic echocardiogram; bradycardia; cardiomyopathy; imaging; palpitations.

Publication types

Case Reports

Grants and funding

K23 HL151909/HL/NHLBI NIH HHS/United States