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Sublocalization of Cardiac Involvement in Sarcoidosis and Surgical Exclusion in Patients With Congestive Heart Failure  Masanori Hirota, MD, PhD, Minoru.

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Presentation on theme: "Sublocalization of Cardiac Involvement in Sarcoidosis and Surgical Exclusion in Patients With Congestive Heart Failure  Masanori Hirota, MD, PhD, Minoru."— Presentation transcript:

1 Sublocalization of Cardiac Involvement in Sarcoidosis and Surgical Exclusion in Patients With Congestive Heart Failure  Masanori Hirota, MD, PhD, Minoru Yoshida, MD, Joji Hoshino, MD, Taichi Kondo, MD, Tadashi Isomura, MD, PhD  The Annals of Thoracic Surgery  Volume 100, Issue 1, Pages (July 2015) DOI: /j.athoracsur Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Representative intraoperative images. (A) Protruding epicardial lesion is observed on the apical wall. (B) and (C) Flat, patchy, and densely packed degenerative changes are also seen on the posterior left ventricular (LV) wall. The anterior wall of the broad white scar is opened along the left descending artery during the septal anterior ventricular exclusion procedure. In the long axis of the LV, the scar lesion extends from the basal to the apical portion. (D) In the short axis, the scar extends to the septal wall, and there is intraventricular thrombus on the endocardial surface of the basal septum. The Annals of Thoracic Surgery  , 81-87DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Kaplan-Meier survival curve shows 3- and 5-year survival rates of 65% and 52%, respectively. The Annals of Thoracic Surgery  , 81-87DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Representative hematoxylin and eosin staining of surgical specimen reveals epithelioid non-caseating granuloma with giant cells in the left ventricle. (Scale bar = 40 μm.) The Annals of Thoracic Surgery  , 81-87DOI: ( /j.athoracsur ) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

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