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Abstract
A case of granulomatous giant cell myocarditis diagnosed post-mortem is presented. Clinically, the 84-year-old patient showed progressive cardiac failure, atrial fibrillation and ECG changes suggestive of infarction. At autopsy granulomatous changes with mononuclear cells and giant cells were found exclusively in the left atrial myocardium. A review of recent literature on the subject is presented.