Hypotension following valve replacement surgery in carcinoid heart disease

Summary We report the use of adrenaline in a 62‐year‐old woman with carcinoid heart disease who underwent double valve replacement. She was given an intravenous infusion of octreotide throughout the peri‐operative period. Following the termination of cardiopulmonary bypass she developed profound hyp...

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Bibliographic Details
Published in:Anaesthesia 1992-06, Vol.47 (6), p.490-492
Main Authors: HAMID, S. K., HARRIS, D. N. F.
Format: Article
Language:English
Subjects:
adrenaline
Anesthesia - methods
Biological and medical sciences
carcinoid heart disease
Carcinoid Heart Disease - drug therapy
Carcinoid Heart Disease - surgery
Cardiopulmonary Bypass
Cardiovascular system
Complications
Epinephrine - therapeutic use
Female
Heart Valve Prosthesis
Humans
hypotension
Hypotension - drug therapy
Medical sciences
Middle Aged
Miscellaneous
Octreotide - therapeutic use
Pharmacology. Drug treatments
Postoperative Complications - drug therapy
Pulmonary Valve - surgery
Sympathetic nervous system
Tricuspid Valve - surgery
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Summary:Summary We report the use of adrenaline in a 62‐year‐old woman with carcinoid heart disease who underwent double valve replacement. She was given an intravenous infusion of octreotide throughout the peri‐operative period. Following the termination of cardiopulmonary bypass she developed profound hypotension which proved to be refractory to various therapies but responded to adrenaline. Adrenaline is said to be contraindicated in carcinoid syndrome, but we would suggest the consideration of its use in such cases where the hypotension may result from myocardial depression rather than from a carcinoid crisis.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1992.tb02272.x