Ventricular Septal Rupture in Cardiac Sarcoidosis Diagnosed by Point-of-Care Ultrasound
Christopher L Wilson, Melissa Edwards, Christopher Brown, Gowtham Grandhi
TL;DR
A 60-year-old woman with cardiac sarcoidosis had a life-threatening heart condition detected quickly using a portable ultrasound.
Contribution
Demonstrates the utility of point-of-care ultrasound in diagnosing a rare complication of cardiac sarcoidosis.
Findings
POCUS identified a ventricular septal rupture with left-to-right shunting.
The diagnosis enabled rapid management of a life-threatening condition.
The case underscores the importance of POCUS in emergency cardiac evaluations.
Abstract
A 60-year-old female with cardiac sarcoidosis and a history of ventricular aneurysm presented with acute palpitations and diaphoresis. Bedside point-of-care ultrasound (POCUS) identified a ventricular septal rupture (VSR) with left-to-right shunting, suggesting acute rupture of the aneurysm. This case highlights the critical role of POCUS in a rare and life-threatening complication of cardiac sarcoidosis, expediting management and improving patient outcomes.
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Taxonomy
TopicsCardiac Structural Anomalies and Repair · Infective Endocarditis Diagnosis and Management · Pericarditis and Cardiac Tamponade