Carcinoid crisis and reversible right ventricular dysfunction after embolization in untreated carcinoid syndrome.
Eur J Echocardiogr
; 8(5): 386-9, 2007 Oct.
Article
em En
| MEDLINE
| ID: mdl-17011239
ABSTRACT
A 59-year-old white male with carcinoid tumor and hepatic metastases underwent hepatic artery embolization. The patient developed carcinoid crisis and a subsequent transthoracic echocardiogram showed classic findings of carcinoid heart disease along with a dilated hypertrophied right ventricle and severely depressed right ventricular ejection fraction. After treatment with octreotide the patient's clinical condition improved and a repeat transthoracic echocardiogram showed a significant improvement and normalization of right ventricular systolic function. Serotonin levels showed a progressive decline that correlated well with the patient's improved clinical condition. These findings suggest that the acute right ventricular dysfunction was secondary to acute carcinoid crisis and resolution resulted in a significant improvement of both right ventricular systolic function and clinical condition.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença Cardíaca Carcinoide
/
Tumor Carcinoide
/
Disfunção Ventricular Direita
/
Embolização Terapêutica
/
Neoplasias Hepáticas
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Eur J Echocardiogr
Ano de publicação:
2007
Tipo de documento:
Article