Double bioprosthetic valve replacement in right-sided carcinoid heart disease.
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.
Voigt
Pieter G
PG
Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands. p.g.voigt@lumc.nl
Braun
Jerry
J
Teng
Onno Y
OY
Koolbergen
Dave R
DR
Holman
Eduard
E
Bax
Jeroen J
JJ
Smit
Vincent T H B M
VT
Dion
Robert A E
RA
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