Thorac Cardiovasc Surg 2007; 55(2): 65-67
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

P. Zacek1 , 2 , K. Medilek2 , V. Lonsky1 , 2 , J. Laco1 , 3 , M. Nova1 , 3 , J. Dominik1 , 2
  • 1Faculty of Medicine, Charles University, Hradec Kralove, Czech Republic
  • 2Department of Cardiac Surgery, Charles University Hospital, Hradec Kralove, Czech Republic
  • 3The Fingerland Department of Pathology, Charles University Hospital, Hradec Kralove, Czech Republic
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.

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

    >