Carcinoid heart disease: a case report and literature review.
We report a patient who presented for elective exploratory laparotomy, and resection of a pelvic mass, which was thought to be ovarian carcinoma. Intraoperative transesophageal echocardiography demonstrated right-sided valvular heart lesions, which suggested the diagnosis of carcinoid syndrome before a pathologic confirmation was obtained. This article discusses the classical presentation and anesthetic management of patients with carcinoid syndrome and emphasizes the importance of proper preoperative diagnosis and careful planning if the incidence and severity of the symptoms that this condition can provoke are to be reduced.
Botero
Monica
M
Department of Anesthesiology, University of Florida College of Medicine, and Veterans Affairs Medical Center, Gainesville, FL 32610-0254, USA.
Fuchs
Ralph
R
Paulus
David A
DA
Lind
D Scott
DS
D000758:Anesthesia; D002275:Carcinoid Heart Disease / Q000175:diagnosis* / Q000601:surgery*; D002276:Carcinoid Tumor / Q000150:complications / Q000556:secondary / Q000601:surgery*; D003951:Diagnostic Errors; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D007432:Intraoperative Period; D008303:Malignant Carcinoid Syndrome / Q000175:diagnosis; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications / Q000556:secondary / Q000601:surgery*