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[Carcinoid heart disease]

I el-Rassi1, M Oroudji, M Tapia

  • 1Service de chirurgie cardiaque, hôpital Bichat Claude-Bernard, Paris.

Archives Des Maladies Du Coeur Et Des Vaisseaux
|September 28, 1998
PubMed
Summary
This summary is machine-generated.

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Metastatic carcinoid tumors can cause carcinoid cardiac disease, leading to heart failure. Surgical valve replacement offers improved survival and symptom relief for affected patients.

Area of Science:

  • Cardiology
  • Oncology
  • Cardiac Surgery

Background:

  • Carcinoid cardiac disease is a frequent complication of metastatic carcinoid tumors.
  • It typically manifests as tricuspid regurgitation and pulmonary stenosis.
  • This condition can lead to significant congestive cardiac failure.

Observation:

  • A 68-year-old woman with metastatic carcinoid tumor presented with congestive cardiac failure.
  • Echocardiography revealed typical carcinoid lesions on the tricuspid and pulmonary valves, causing severe tricuspid regurgitation.
  • The patient underwent a double valve replacement procedure.

Findings:

  • The double valve replacement resulted in a favorable outcome.
  • Postoperative echocardiography demonstrated a significant improvement in right ventricular function.

Related Experiment Videos

  • Surgical management for NYHA Stage III carcinoid valvular heart disease improved 2-year survival from 8% to 40%.

    • Implications:

    • Cardiac surgery is the primary hope for long-term survival in patients with carcinoid cardiac disease.
    • Despite a high operative mortality (around 27%), surgical intervention leads to spectacular symptom improvement.
    • This highlights the critical role of timely surgical intervention in managing advanced carcinoid cardiac disease.