A patient with pulmonary hypertension: a rare case of AL amyloidosis involving the heart and external auditory canal

Abstract

The article presents a case of immunoglobulin light chain amyloidosis with cardiac involvement without typical noncardiac manifestations. A complex diagnostic search for the cause of newly diagnosed pulmonary hypertension is described. Aspects of differential diagnosis in invasive hemodynamic assessment of pulmonary circulation and echocardiographic data are discussed. A special case feature is involvement of the hearing organ, which is very rare.

Keywords

• pulmonary hypertension
• amyloidosis
• heart
• external auditory canal
• heart failure
• echocardiography