Warning: file_get_contents(https://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=28634593
&cmd=llinks): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 215
Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28634593
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Investig+Med+High+Impact+Case+Rep
2017 ; 5
(2
): 2324709617713511
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Carcinoid Heart Disease: Starting From Heart Failure
#MMPMID28634593
Bertin N
; Favretto S
; Pelizzo F
; Mos L
; Pertoldi F
; Vriz O
J Investig Med High Impact Case Rep
2017[Apr]; 5
(2
): 2324709617713511
PMID28634593
show ga
Carcinoid syndrome is the constellation of symptoms mediated by humoral factors
produced by some carcinoid tumors. It consists primarily of vasomotor symptoms,
gastrointestinal hypermotility, hypotension, and bronchospasm, due to the
production and release of vasoactive substances. Carcinoid heart disease occurs
in more than 50% of patients with carcinoid syndrome; in some cases, it
represents the initial manifestation of the disease. We report the case of a
75-year-old woman with a metastatic neuroendocrine tumor admitted to the
emergency room for fatigue and heart failure. Transthoracic echocardiography
showed severe tricuspid and pulmonic regurgitation suggesting carcinoid heart
disease. A hypervascular retroperitoneal mass was found on abdominal computed
tomography, which seemed to arise from the mesenteric artery, anteriorly to the
abdominal aorta. Unfortunately, our patient was neither a candidate for mass
resection nor for cardiac surgery due to advanced metastatic disease and poor
clinical condition. Additionally, we performed a systematic literature review of
carcinoid heart disease focusing on typical echocardiographic findings.