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Updated: Sep 18, 2025

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Published on: November 18, 2018
Hiding in Plain Sight: Pulmonic Valve Involvement in Carcinoid Heart Disease
M Kasim Malik1, Alexander Whitaker2, Ghadi Moubarak3
1Baylor Scott and White, The Heart Hospital, Plano, Texas.
None:
A 50 year old male with medical history of hypertension and carcinid heart disease was initially seen in valve clinic for planned tricuspid valve replacement. A repeat echocardiogram demonstrated flow acceleration accross the pulmonic valve concerning for pulmonic stenosis, which was not seen on prior echocardiograms. Follow up CT imaging confirmed pulmonic stenosis and the surgical plan was changed to include both tricuspid and pulmonic valve replacements. A high clinical index of suspicion is requried for evaluation pulmonic involvement in carcinoid heart disease.
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