Angina with a normal coronary angiogram caused by amyloidosis.
A case of severe intractable angina pectoris with normal angiography is presented. Following video assisted thoracic sympathectomy the patient died of heart failure. Microvascular cardiac amyloidosis was diagnosed at the postmortem examination. This report alerts clinicians to this possible diagnosis when treating patients with severe angina when no cause is found and discusses the poor prognosis in such cases.
Department of Cardiothoracic Surgery, 6th Floor, New Guy's House, Guy's Hospital, St Thomas Street, London SE1 9RT, UK. donaldc@doctors.org.uk
D C
DC
Whitaker
M F
MF
Tungekar
J E
JE
Dussek
D000368:Aged; D000686:Amyloidosis / Q000150:complications* / Q000000981:diagnostic imaging; D000787:Angina Pectoris / Q000000981:diagnostic imaging / Q000209:etiology*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000150:complications* / Q000000981:diagnostic imaging; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D011651:Pulmonary Artery