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
multi-organ 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.