**6. Conclusion**

In conclusion, cardiac amyloidosis is a complex pathology with poor prognosis since the onset of clinical manifestation even at the dawn of modern chemotherapy and stem cell transplantation. Should this disease be addressed by cardiac surgery the only therapeutic option is heart transplantation which, however, still remains to be debatable in view of postoperative results, recurrent amyloid disease of the graft and donor-organ shortage. Intentional cardiosurgical procedure for accompanying cardiac disorders can hardly be advised even in selected patients. On contrary, maximal vigilance has to be maintained to avoid misdiagnosing cardiac surgery for other more frequent cardiac maladies which otherwise can lead to unnecessary operation with fatal outcome.
