Invasive fusariosis is an aggressive fungal disease among immunocompromised patients. Mortality remains high in the voriconazole era. Combination therapy should be studied systematically for fusariosis.
Background:
There is growing interest in the observed significant incidence of transthyretin cardiac
amyloidosis in elderly patients with aortic stenosis. Approximately 16% of patients with severe aortic
stenosis undergoing aortic valve replacement have transthyretin cardiac amyloidosis. Outcomes after
aortic valve replacement appear worse in patients with concomitant transthyretin cardiac amyloidosis.
Method:
Publications in PubMed, Cochrane Library, and Embase databases were systematically
searched from January 2012 to September 2018 using the keywords transthyretin, amyloidosis, and
aortic stenosis. All studies published in English that reported the prevalence, association and outcomes
of transthyretin cardiac amyloidosis in patients with aortic stenosis undergoing were included.
Results/Conclusion:
The relationship between aortic stenosis and transthyretin cardiac amyloidosis is
not well understood. A few studies have proven successful surgical management when both
conditions coexist. This systematic review suggests that transthyretin cardiac amyloidosis is common
in elderly patients with aortic stenosis and tend to have high mortality rates after AVR. The
significant incidence of the two diseases occurring simultaneously warrants further investigation to
improve management strategies in the future.
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