Carcinoid Heart Disease: A Rare Cause of Right Ventricular Dysfunction Evaluation by Transthoracic 2D, Doppler and 3-D Echocardiography

Carcinoid Heart Disease: A Rare Cause of Right Ventricular Dysfunction Evaluation by Transthoracic 2D, Doppler and 3-D Echocardiography

Carcinoid heart disease is a rare cause of heart failure with or without right valvular heart impairments. In this study, we showed a case of carcinoid tumour with hepatic metastases inducing carcinoid heart disease. Neuroendocrine heart involvement happens for severe tricuspid valve insufficiency a...

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Veröffentlicht in:Journal of Cardiovascular Ultrasound 2011-06, Vol.19 (2), p.99-101
Hauptverfasser: Cacciapuoti, Fulvio, Agrusta, Marco, Chiorazzo, Gisberta, Midolla, Arcangelo, Agrusta, Federica, Cacciapuoti, Federico
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Case Report
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container_end_page 101
container_issue 2
container_start_page 99
container_title Journal of Cardiovascular Ultrasound
container_volume 19
creator Cacciapuoti, Fulvio
Agrusta, Marco
Chiorazzo, Gisberta
Midolla, Arcangelo
Agrusta, Federica
Cacciapuoti, Federico
description Carcinoid heart disease is a rare cause of heart failure with or without right valvular heart impairments. In this study, we showed a case of carcinoid tumour with hepatic metastases inducing carcinoid heart disease. Neuroendocrine heart involvement happens for severe tricuspid valve insufficiency and plaques on right ventricular (RV) walls produced by a release of serotonin (5-HT). A patient affected by primitive ileal tumour with 5-HT-secernent hepatic metastases inducing tricuspid insufficiency is showed. Transthoracic 2-D echocardiography showed tricuspid valve regurgitation and both right atrium, RV-walls plaques and RV dilation. Continue-wave Doppler showed a characteristic "dagger shaped" spectrum of tricuspid systolic flow. RV function was evaluated with 3-D transthoracic echocardiography. In particular, RV volumes, RV ejection fraction and stroke volume were defined by this technique. 2, 3-D echocardiography and Doppler method are useful techniques to show heart valves' derangements and RV function to non-invasively detect RV impairments in carcinoid heart disease.
doi_str_mv 10.4250/jcu.2011.19.2.99
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source KoreaMed Open Access; KoreaMed Synapse (Open Access); PubMed Central; Alma/SFX Local Collection
subjects Case Report
title Carcinoid Heart Disease: A Rare Cause of Right Ventricular Dysfunction Evaluation by Transthoracic 2D, Doppler and 3-D Echocardiography
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