**5. Cardiac surgery in cardiac amyloidosis**

Cardiac surgery, in logical consequence of low prevalence of cardiac amyloidosis, difficult straightforward diagnostics and very limited scope of action due to the nature of the disease, has a relatively small window of experience. Majority of the authors have published anecdotic case reports and only data on transplanted patients accumulate the evidence from small cohorts. Basically, there are three clinical pathways in which a patient with cardiac amyloidosis may be referred for cardiac surgery:
