Isolated metastatic myocardial carcinoid tumor in a 48-year-old man.
This brief report describes an asymptomatic patient with a myocardial mass. Two-dimensional echocardiography, technetium Tc 99m cardiac nuclear scan, and transesophageal echocardiography were performed to define the mass. The mass, which involved the subvalvar right ventricular free wall, was resected and determined to be a metastatic carcinoid tumor by histologic and immunohistochemical analysis. Further investigation revealed the presence of a midgut carcinoid tumor located within the terminal ileum, which was also resected surgically. The patient recovered well after surgery and adjunctive chemotherapy. To our knowledge, this is the first report of comprehensive nuclear and echocardiographic imaging, supplemented by surgical and pathologic findings, in an asymptomatic patient with isolated myocardial metastasis of an ileal carcinoid tumor.
Kasi
Vijaykumar S
VS
Division of Cardiology, Pitt County Memorial Hospital and East Carolina University, Greenville, NC 27858, USA.
Ahsanuddin
Arshad N
AN
Gilbert
Charles
C
Orr
Lynn
L
Moran
Jon
J
Sorrell
Vincent L
VL
Ahsanudin
Arshad N
AN
D002276:Carcinoid Tumor / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D017023:Coronary Angiography; D004562:Electrocardiography; D006338:Heart Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000556:secondary* / Q000601:surgery; D006801:Humans; D007078:Ileal Neoplasms / Q000188:drug therapy / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D015635:Radionuclide Ventriculography; D018497:Ventricular Dysfunction, Right / Q000209:etiology*