Clues to Diagnosing Carcinoid Heart Disease as the Cause of Isolated Right-Sided Heart Failure

Roberts, Carey Camille; Parmar, Rohit; Grayburn, Paul A.; Patankar, Gautam R.; Ko, Jong Mi; Hamman, Baron L.; Roberts, William C.

doi:10.1016/j.amjcard.2014.08.005

Cited by 4 publications

(1 citation statement)

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“…This feature may be consistent with an increased stiffness of the inferior vena cava wall, probably due to fibrotic plaque deposition. Fibrotic plaques, in fact, have been described in several vessels in CHD, including the vena cava, the pulmonary artery, the coronary sinus, and the coronary arteries . In support of this hypothesis, in our patient, an increase of the vena cava wall thickness was observed by 2D echocardiography (Figure A).…”

Section: Discussionsupporting

confidence: 86%

Noninvasive evaluation of right hemodynamics in carcinoid heart disease: A case report

Nardozza

Mele

Ferrari

2016

J of Clinical Ultrasound

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We report the case of a 67-year-old woman with a carcinoid tumor of midgut origin who developed carcinoid heart disease and died because of bowel perforation. Echocardiography allowed the diagnosis, recognizing the typical abnormalities of tricuspid and pulmonary valve leaflets. The sonographic examination also evidenced peculiar alterations of the right heart hemodynamics: end-diastolic reversal of flow at the level of the pulmonary valve, reduced respiratory excursion without enlargement of the inferior vena cava, and biphasic hepatic venous flow without respiratory variation. Echocardiography allowed both the diagnosis and the accurate assessment of the hemodynamic consequences of the disease. © 2016 Wiley Periodicals, Inc. J Clin Ultrasound 45:355-361, 2017.

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Section: Discussionsupporting

confidence: 86%