Cardiac amyloidosis in the cardiosurgical operating room--a rare but fatal trap.
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.
Zacek
P
P
Faculty of Medicine, Charles University, Hradec Kralove, Czech Republic. zacek@fnhk.cz
Medilek
K
K
Lonsky
V
V
Laco
J
J
Nova
M
M
Dominik
J
J
D000368:Aged; D000686:Amyloidosis / Q000150:complications* / Q000175:diagnosis* / Q000503:physiopathology; D002315:Cardiopulmonary Bypass; D003326:Coronary Circulation; D023921:Coronary Stenosis / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery*; D003951:Diagnostic Errors; D017809:Fatal Outcome; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000009:adverse effects*; D008297:Male