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Carcinoid Heart Disease With Hypoxemia
Tomohiro Suenaga1, Kenichi Ishizu1, Miho Nakamura1
1Department of Cardiology, Kokura Memorial Hospital, Kitakyushu, Japan.
JACC. Case Reports
|April 16, 2024
Summary
Patent foramen ovale (PFO) complicated with carcinoid heart disease (CHD) can cause severe hypoxia. Successful percutaneous closure of PFO in a patient with CHD and severe valve regurgitations improved the clinical condition.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Carcinoid heart disease (CHD) involves carcinoid syndrome affecting heart valves.
- Patent foramen ovale (PFO) is a common cardiac anomaly that can complicate CHD.
- Combined PFO and CHD can lead to severe hypoxia and clinical deterioration.
Observation:
- A patient with advanced CHD and multiple severe valve regurgitations presented with a PFO.
- The patient was in poor general condition, indicative of significant cardiovascular compromise.
Findings:
- Percutaneous closure of the patent foramen ovale was successfully performed.
- The intervention addressed a contributing factor to the patient's hypoxia and overall condition.
Implications:
- Percutaneous PFO closure is a viable therapeutic option for select CHD patients.
- This approach can potentially improve oxygenation and clinical outcomes in complex cardiac cases.
- Further research may explore the long-term benefits of PFO closure in carcinoid heart disease.
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