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Carcinoid heart disease revealed by cyanosis with both right and left valvular involvement: a case report.
- Source :
-
Journal of medical case reports [J Med Case Rep] 2018 Jan 31; Vol. 12 (1), pp. 23. Date of Electronic Publication: 2018 Jan 31. - Publication Year :
- 2018
-
Abstract
- Background: Carcinoid heart disease is a frequent complication of carcinoid syndrome. It is related to the release by the carcinoid tumor and/or its metastases of bioactive substances such as serotonin. It is characterized by right-sided valvular involvement and can lead to right-sided heart failure. It is a prognostic factor of carcinoid syndrome.<br />Case Presentation: We report the case of a 53-year-old African woman with an endocrine tumor of her small intestine complicated by carcinoid heart disease, revealed by right-sided heart failure. The diagnosis was confirmed by transthoracic echocardiography, which showed a severe tricuspid regurgitation with a patent foramen ovale, and by increased serum chromogranin A and urinary 5-hydroxyindoleacetic acid. Initially she was treated with medical therapy (furosemide and injection of somatostatin). Afterwards she was proposed for surgery. The evolution of her treatment was good.<br />Conclusions: Carcinoid syndrome is complicated in 60% of the cases of a heart disease, and is responsible for an important morbidity and mortality. The prognosis of patients with carcinoid heart disease has improved in recent years through somatostatin analogues and the cardiac surgery.
- Subjects :
- Carcinoid Heart Disease physiopathology
Cardiac Surgical Procedures
Comorbidity
Cyanosis
Female
Foramen Ovale, Patent pathology
Heart Failure pathology
Heart Failure surgery
Hormones therapeutic use
Humans
Intestinal Neoplasms therapy
Middle Aged
Somatostatin therapeutic use
Treatment Outcome
Carcinoid Heart Disease diagnosis
Echocardiography
Foramen Ovale, Patent diagnostic imaging
Heart Failure diagnostic imaging
Intestinal Neoplasms diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1752-1947
- Volume :
- 12
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of medical case reports
- Publication Type :
- Academic Journal
- Accession number :
- 29386066
- Full Text :
- https://doi.org/10.1186/s13256-018-1574-6