[Carcinoid heart disease].
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.
el-Rassi
I
I
Service de chirurgie cardiaque, hôpital Bichat Claude-Bernard, Paris.
Oroudji
M
M
Tapia
M
M
Depoix
J P
JP
Henri
I
I
Cormier
B
B
Vissuzaine
C
C
Acar
C
C
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