[Right ventricular failure as the presenting manifestation of a carcinoid syndrome].
We report a 75-year-old woman with a severe and symptomatic valvular tricuspid dysfunction, revealing a carcinoid syndrome, confirmed by an octreotid scan and liver biopsy. Carcinoid heart disease is a common complication of carcinoid syndrome associated with poor prognosis. Despite new pharmacological treatment, valve replacement surgery is the only curative treatment. Early diagnosis and multidisciplinary management could improve prognosis and quality of life of these patients.
Poyet
R
R
Service de cardiologie et maladies vasculaires, hôpital d'instruction des armées Sainte-Anne, boulevard Sainte-Anne, 83800 Toulon-Naval, France. raphael.poyet@caramail.com
Kerebel
S
S
Pons
F
F
Aletti
M
M
Jego
C
C
Cellarier
G-R
GR
Graffin
B
B
Carli
P
P
Carlioz
R
R
D000368:Aged; D001706:Biopsy; D002275:Carcinoid Heart Disease / Q000175:diagnosis*; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008099:Liver / Q000473:pathology; D008113:Liver Neoplasms / Q000175:diagnosis* / Q000473:pathology; D008303:Malignant Carcinoid Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D018358:Neuroendocrine Tumors / Q000175:diagnosis* / Q000473:pathology; D015282:Octreotide; D011379:Prognosis; D011877:Radionuclide Imaging; D014262:Tricuspid Valve Insufficiency / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology*; D018615:Ultrasonography, Doppler, Color; D018497:Ventricular Dysfunction, Right / Q000175:diagnosis / Q000209:etiology*
D015282:Octreotide