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Carcinoid heart disease: a remarkable recovery
S Proesmans1, F Van Fraeyenhove, K Dossche
1Cardiology, Ziekenhuis Netwerk Antwerpen , Belgium.
Acta Clinica Belgica
|July 31, 2015
Summary
A patient with metastatic neuroendocrine tumors experienced carcinoid heart disease. Successful valve replacement surgery restored her full functional capacity, demonstrating a positive outcome for this rare complication.
Area of Science:
- Cardiology
- Oncology
- Cardiac Surgery
Background:
- Metastatic neuroendocrine tumors (NETs), particularly small intestine NETs, can lead to carcinoid syndrome.
- Carcinoid syndrome can cause carcinoid valve disease, affecting heart valves and leading to right heart failure.
Observation:
- A 65-year-old female patient with metastatic small intestine neuroendocrine tumor presented with carcinoid valve disease.
- The patient suffered from intractable right heart failure secondary to valve dysfunction.
Findings:
- The patient underwent successful surgical valve replacement, addressing both tricuspid and pulmonary valves.
- One year post-operation, the patient achieved full functional capacity and recovery.
Implications:
- Surgical intervention, including valve replacement, can effectively manage carcinoid valve disease in patients with metastatic NETs.
- Early recognition and treatment of carcinoid heart complications are crucial for improving patient outcomes and quality of life.
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