Valvular unvolvement in carcinoid disease. a case report

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Published Dec 26, 2017
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Vol. 95 No. 5 (2017): Issue May 2017

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Saoussen Antit
Lilia Zakhama
Service de Cardiologie. Hôpital des Forces de Sécurité Intérieure. La Marsa.
Sarra Chenik
Mohamed Saadi
Ahmed Houmed
Samar Mohamed
Elhem Boussabeh
Moez Thameur
Soraya Ben youssef

Abstract

Carcinoid tumors are rare, mainly located in the gastrointestinal tract particularly in the small intestine. Cardiac involvement, fairly frequent and usually affecting right sided heart valves, had a poor prognosis that is improved by an earlier detection and valve surgery. We report the case of a 50-years old woman with neuroendocrine tumor and liver metastases, in whom carcinoid involvement of the right heart was diagnosed following exertional dyspnea. She had dilated right cavities, severe tricuspid regurgitation, mild tricuspid stenosis and a moderate pulmonary stenosis. She underwent a double valve replacement by bioprosthesis with improvement of symptoms and recovery of normal right cavities size.

Keywords:

Carcinoid tumor; Tricuspid regurgitation; Pulmonary stenosis; Bioprosthesis.

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