Carcinoid heart disease

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Carcinoid heart disease

Sameer Chadha; Ankur Lodha; Vijay Shetty; Adnan Sadiq; Gerald Hollander; Jacob Shani

Maimonides Medical Center, USA

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Keywords: Carcinoid Heart Disease; Tricuspid Valve Stenosis; Pulmonary Valve Stenosis.

A 35-year-old male with history of ileal carcinoid tumor referred to our ER with bilateral pedal edema. Physical examination was significant for jugular venous distention and a holosystolic murmur at the lower left sternal border. The echocardiogram revealed thickened, retracted and completely non-mobile tricuspid valve leaflets (Figure 1, Video 1) which failed to coapt in systole, resulting in severe tricuspid regurgitation. The pulmonary valve was also affected leading to severe pulmonary insufficiency but there was no left-sided valvular involvement. A diagnosis of Carcinoid Heart Disease was made and the patient underwent a successful tricuspid and pulmonary valve replacement.

Manuscript received 08/07/12; manuscript revised 12/09/12; accepted 12/09/12.

Publication Dates

• Publication in this collection
  30 Jan 2013
• Date of issue
  Jan 2013