Carcinoid Heart Disease: Outcome After Balloon Pulmonary Valvuloplasty

Abstract Carcinoid heart disease typically presents with pulmonary stenosis and tricuspid regurgitation. Management is intended for symptomatic relief, and valvular intervention is indicated in refractory heart failure. Balloon valvuloplasty is an option for patients not suitable for surgery. We rep...

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Bibliographic Details
Published in:Canadian journal of cardiology 2013-06, Vol.29 (6), p.751.e7-751.e9
Main Authors: Carrilho-Ferreira, Pedro, MD, Silva, Doroteia, MD, Almeida, Ana G., MD, PhD, Infante de Oliveira, Eduardo, MD, Ferreira, Carlos, MD, Miranda, Luís, MD, Rosa, Rosário, MD, Canas da Silva, Pedro, MD, Bicha Castelo, Henrique, MD, PhD, Nunes Diogo, António, MD
Format: Article
Language:English
Subjects:
Balloon Valvuloplasty - methods
Carcinoid Heart Disease - complications
Carcinoid Heart Disease - diagnosis
Carcinoid Heart Disease - therapy
Cardiac Catheterization
Cardiovascular
Echocardiography
Echocardiography, Doppler, Color
Female
Follow-Up Studies
Humans
Middle Aged
Pulmonary Valve Stenosis - diagnosis
Pulmonary Valve Stenosis - etiology
Pulmonary Valve Stenosis - therapy
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Summary:Abstract Carcinoid heart disease typically presents with pulmonary stenosis and tricuspid regurgitation. Management is intended for symptomatic relief, and valvular intervention is indicated in refractory heart failure. Balloon valvuloplasty is an option for patients not suitable for surgery. We report the case of a patient with a carcinoid tumour, who developed postoperative refractory hypoxemia. Transthoracic echocardiogram revealed carcinoid pulmonary and tricuspid valve disease, with severe pulmonary stenosis. Balloon valvuloplasty was performed with major clinical improvement.
ISSN:0828-282X
1916-7075
DOI:10.1016/j.cjca.2012.09.015