title: Metastatic carcinoid tumor presenting as right sided heart failure.
abstract: Carcinoid tumor is a slow-growing type of neuroendocrine tumor, originating in the enterochromaffin cells and secreting mainly serotonin. The diagnosis is based on clinical symptoms, hormone levels, radiological and nuclear imaging, and histological confirmation. The clinical symptoms are characterized by flushing, diarrhea, abdominal pain, telangiectasia and/or bronchoconstriction. However, most patients have metastatic disease at diagnosis because the clinic goes unnoticed or are ascribed to other abdominal conditions. We report the clinical symptoms, hormone levels, radiological and nuclear imaging, histological diagnosis, treatment and evaluation of a 44-year-old female patient with congestive heart failure secondary to carcinoid heart disease in the context of liver metastases of an ileum carcinoid tumor.
authors.affiliation: Cardiology Service, Insular-Materno Infantil University Hospital, Las Palmas de Gran Canaria, Spain.
authors.forename: Efren
authors.initials: E
authors.lastname: Martinez-Quintana
authors.forename: Maria Del Mar
authors.initials: Mdel M
authors.lastname: Avila-Gonzalez
authors.forename: Laura
authors.initials: L
authors.lastname: Suarez-Castellano
authors.forename: Fayna
authors.initials: F
authors.lastname: Rodriguez-Gonzalez
keywords: Carcinoid; Heart Failure, Tricuspide Valve; Neuroendocrine; Octreotide; Serotonin