PMC2738866_01
Echocardiography shows biventricular enlargement and diffuse hypokinesis of the left ventricle without wall thinning.
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fig1
Two-dimensional echocardiography showed enlarged biventricles; left ventricular (LV) and right ventricular (RV) end-diastolic dimension were 58 mm and 45 mm, respectively (Figure 1).
Myocardial scintigraphy with 99mTc-tetrofosmin shows perfusion defect at the septal wall and hypoperfusion at the posterior wall and apex.
CRM2009-856785.002.jpg
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fig2
Myocardial biopsy of the RV septum histologically showed epithelioid cell granuloma with infiltration of fibrous cells into the area of lost myocytes (Figure 2), which confirmed myocardial sarcoidosis.