title: [Carcinoid heart disease].
abstract: Carcinoid cardiac disease is a common complication of metastatic carcinoid tumours. It is characterized by tricuspid regurgitation and pulmonary stenosis. A 68 years old woman with a metastatic carcinoid tumour was admitted to hospital for congestive cardiac failure secondary to severe tricuspid regurgitation. Typical carcinoid lesions of the tricuspid and pulmonary valves were observed at echocardiography. A double valve replacement was performed with a favourable outcome. Postoperative echocardiography showed a significant improvement in right ventricular function. Surgical management of carcinoid valvular heart disease of NYHA Stage III patients is associated with an improved 2 years survival (from 8 to 40%) despite a high operative mortality (about 27%). Cardiac surgery remains the only hope of long-term survival with a spectacular improvement in symptoms.
authors.affiliation: Service de chirurgie cardiaque, hôpital Bichat Claude-Bernard, Paris.
authors.forename: I
authors.initials: I
authors.lastname: el-Rassi
authors.forename: M
authors.initials: M
authors.lastname: Oroudji
authors.forename: M
authors.initials: M
authors.lastname: Tapia
authors.forename: J P
authors.initials: JP
authors.lastname: Depoix
authors.forename: I
authors.initials: I
authors.lastname: Henri
authors.forename: B
authors.initials: B
authors.lastname: Cormier
authors.forename: C
authors.initials: C
authors.lastname: Vissuzaine
authors.forename: C
authors.initials: C
authors.lastname: Acar
mesh_terms: D000368:Aged; D002275:Carcinoid Heart Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006349:Heart Valve Diseases / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D011379:Prognosis; D019616:Thoracic Surgical Procedures / Q000379:methods