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Isolated severe tricuspid regurgitation: the importance of identifying underlying mechanism.
- Source :
-
International journal of cardiology [Int J Cardiol] 2008 Jul 21; Vol. 127 (3), pp. 403-5. Date of Electronic Publication: 2007 Jul 12. - Publication Year :
- 2008
-
Abstract
- An 88-year-old woman presented with right heart failure, history of diarrhoea, abdominal pain, weight lost, dyspnoea over several weeks and a new pan-systolic murmur. Echocardiography showed retracted tricuspid leaflets with incomplete coaptation resulting in severe regurgitation. Subcostal view showed an adjacent hepatic cyst leading to biopsy, which revealed neoplastic neuroendocrine cells. Her 24-hour urinary 5-hydroxyindoleacetic acid level was elevated. The unifying diagnosis was carcinoid syndrome for which she was treated. Echocardiography is an important tool for diagnosis, management and prognosis of carcinoid heart disease.
- Subjects :
- Aged, 80 and over
Anti-Bacterial Agents therapeutic use
Carcinoid Heart Disease complications
Carcinoid Heart Disease diagnosis
Carcinoid Heart Disease drug therapy
Female
Humans
Tricuspid Valve Insufficiency drug therapy
Tricuspid Valve Insufficiency diagnosis
Tricuspid Valve Insufficiency etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1874-1754
- Volume :
- 127
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- International journal of cardiology
- Publication Type :
- Report
- Accession number :
- 17628723
- Full Text :
- https://doi.org/10.1016/j.ijcard.2007.04.073