title: Double bioprosthetic valve replacement in right-sided carcinoid heart disease.
abstract: A patient with tricuspid and pulmonary regurgitation due to carcinoid syndrome successfully underwent double bioprosthetic valve replacement. This technique avoids anticoagulation treatment in a patient with hepatic dysfunction and facilitates future hepatic de-arterialization as a treatment option in carcinoid disease. Advances in treatment of carcinoid syndrome may have reduced the risk of early bioprosthetic degeneration.
authors.affiliation: Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands. p.g.voigt@lumc.nl
authors.forename: Pieter G
authors.initials: PG
authors.lastname: Voigt
authors.forename: Jerry
authors.initials: J
authors.lastname: Braun
authors.forename: Onno Y
authors.initials: OY
authors.lastname: Teng
authors.forename: Dave R
authors.initials: DR
authors.lastname: Koolbergen
authors.forename: Eduard
authors.initials: E
authors.lastname: Holman
authors.forename: Jeroen J
authors.initials: JJ
authors.lastname: Bax
authors.forename: Vincent T H B M
authors.initials: VT
authors.lastname: Smit
authors.forename: Robert A E
authors.initials: RA
authors.lastname: Dion
mesh_terms: D001705:Bioprosthesis; D002275:Carcinoid Heart Disease / Q000150:complications*; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008875:Middle Aged; D011665:Pulmonary Valve Insufficiency / Q000209:etiology / Q000601:surgery*; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery