Coronary revascularisation in cardiac amyloidosis. Issue 11 (16th September 2020)

• Record Type: Journal Article
• Authors: Smith, Alexander; Edlin, Joy; Hinds, Charles; Ambekar, Shirish
• Is Part Of: Journal of cardiac surgery. Volume 35:Issue 11(2020)
• Page Start: 3248
• Page End: 3250
• Publication Date: 2020-09-16
• Subjects: cardiac amyloidosis -- cardiac surgery -- coronary artery bypass; Heart -- Surgery -- Periodicals; 617.412005
• DOI: 10.1111/jocs.14985
• Languages: English
• ISSNs: 0886-0440

Abstract

Abstract: We present a case of coronary artery bypass grafting in a 78‐year‐old man with triple vessel disease and concomitant cardiac amyloidosis. Postoperatively, he developed a profound low cardiac output state and multiorgan failure. He died 3 weeks following surgery. Bypass surgery is rarely performed in patients with cardiac amyloidosis, and there is little in the literature regarding outcomes. The few published cases present a bleak picture, and hence percutaneous coronary intervention should always be preferred.