Jonathan Powell^1,, Emanuel Ebin¹

Isolated cardiac sarcoidosis is a rare but life threatening sub classification of sarcoidosis. The symptomology can range from incidental asymptomatic disease to a life threatening disorder causing sudden cardiac death [3]. Conduction disorders are a well documented manifestation of cardiac sarcoid, however a lesser studied yet life threatening problem includes granulomatous involvement of the myocardium leading to heart failure and cord rupture. Early diagnosis and initiation of appropriate treatment are paramount in preventing destruction of myocardial tissue and improving the survival rate of this unique patient population. We present a case of an otherwise healthy young adult male that presented with acute decompensated heart failure with complete bi-valve failure requiring urgent cardiac surgery.