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Thorac Cardiovasc Surg 2007; 55(2): 65-67
DOI: 10.1055/s-2006-924509
DOI: 10.1055/s-2006-924509
Special Report
© Georg Thieme Verlag KG Stuttgart · New York
Cardiac Amyloidosis in the Cardiosurgical Operating Room - A Rare but Fatal Trap
Further Information
Publication History
received May 24, 2006
Publication Date:
21 March 2007 (online)
Abstract
Coronary artery bypass grafting resulted in a fatal outcome in two patients with unsuspected cardiac amyloidosis. Despite preoperative symptoms of myocardial ischemia, each case represented a different pathophysiological combination of cardiac amyloidosis and coronary artery disease. Pitfalls preventing correct diagnosis and possible patterns of treatment are discussed.
Key words
coronary bypass surgery - myocardial infarction - cardiomyopathy
References
- 1 Neben-Wittich M A, Wittich C, Mueller P S, Larson D R, Gertz M A, Edwards W D. Obstructive intramural coronary amyloidosis and myocardial ischemia are common in primary amyloidosis. Am J Med. 2005; 118 1287
- 2 Massoudy P, Szabo A K, Dirsch O, Wienecke H, van de Wal H JCM, Jakob H G. Amyloid of heart and lungs in a patient with low output after coronary artery bypass grafting. Herz. 2003; 28 453-456
- 3 Kotani N, Hashimoto H, Muraoka M, Kabara S, Okawa H, Matsuki A. Fatal perioperative myocardial infarction in four patients with cardiac amyloidosis. Anesthesiology. 2000; 92 873
- 4 Miyamoto E, Kumiko F, Sanae M, Koh S. A patient with cardiac amyloidosis successfully managed with propofol anesthesia. J Anesth. 2002; 16 173-175
- 5 Kwong Y R, Falk H R. Cardiovascular magnetic resonance in cardiac amyloidosis. Circul. 2005; 111 122-124
PhD, MD Pavel Zacek
Department of Cardiac Surgery
Charles University Hospital
Sokolska tr.
50005 Hradec Kralove
Czech Republic
Phone: + 42 04 95 83 21 43
Fax: + 42 04 95 83 30 26
Email: zacek@fnhk.cz