Purpose of review: The purpose of discussing this rare clinical presentation is to provide an opportunity to review difficulties encountered in diagnosing myocardial sarcoidosis.
Recent findings: Recent advances in diagnosis and management of cardiac sarcoidosis are discussed in this article.
Summary: A 45-year old man was brought to the emergency department after he fainted in a marketplace. An electrocardiogram showed a complete heart block; an echocardiogram revealed a large atrial mass consistent with the appearance of a myxoma. A biopsy of the cardiac mass showed noncaseating granuloma.