Sarcoidosis is a clinical entity characterized by noncaseating epithelioid granulomas affecting multiple organs. The cause remains perplexing, but the available evidence points to an exaggerated cellular response as the feature of the disorder. The granulomas, composed of mononuclear phagocytes encircled by CD4 T lymphocytes, have the potential for distorting tissue architecture and thus compromising organ function. Sarcoidosis is a systemic disease, but its symptoms are usually secondary to lung, liver, skin, lymph node, and eye involvement. Clinically manifest cardiac involvement is seen in 5% of patients. It is characterized by conduction anomalies, pericarditis, and congestive heart failure, with the potential for causing sudden death. We report on an unusual case of cardiac sarcoidosis resulting in aortic valve insufficiency and left ventricular outflow tract (LVOT) obstruction.