Carcinoid Heart Disease: A Rare Cause of Right Ventricular Dysfunction Evaluation by Transthoracic 2D, Doppler and 3-D Echocardiography.
- Author:
Fulvio CACCIAPUOTI
1
,
2
;
Marco AGRUSTA
;
Gisberta CHIORAZZO
;
Arcangelo MIDOLLA
;
Federica AGRUSTA
;
Federico CACCIAPUOTI
Author Information
- Publication Type:Case Report
- Keywords: Carcinoid heart disease; Tricuspid valve incompetence; RV function; 2-D and 3-D echocardiography
- MeSH: Carcinoid Heart Disease; Carcinoid Tumor; Echocardiography; Echocardiography, Three-Dimensional; Heart; Heart Atria; Heart Failure; Humans; Neoplasm Metastasis; Serotonin; Stroke Volume; Tricuspid Valve Insufficiency; Ventricular Dysfunction, Right
- From:Journal of Cardiovascular Ultrasound 2011;19(2):99-101
- CountryRepublic of Korea
- Language:English
- Abstract: 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.
