Pulmonary and tricuspid valvuloplasty in carcinoid heart disease

Catheter Cardiovasc Interv. 2018 Jun;91(7):E68-E71. doi: 10.1002/ccd.26615. Epub 2016 Dec 28.

Abstract

A 26-year-old female with carcinoid heart disease consisting of severe pulmonary and tricuspid valve stenosis was admitted with line associated sepsis. She recovered from sepsis with antibiotics and aggressive fluid resuscitation but became grossly volume overloaded with evidence of tense ascites and lower extremity edema. She developed worsening renal and hepatic function due to congestive nephropathy and hepatopathy, which did not respond to intravenous diuretics, and she was deemed too sick for surgical pulmonary and tricuspid valve replacement. Pulmonary and tricuspid valvuloplasty was performed as a rescue measure to alleviate her congestive symptoms and improve her candidacy for valve replacement. © 2016 Wiley Periodicals, Inc.

Keywords: carcinoid heart disease; pulmonary valvuloplasty; tricuspid valvuloplasty.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Adult
  • Balloon Valvuloplasty*
  • Carcinoid Heart Disease / diagnostic imaging
  • Carcinoid Heart Disease / physiopathology
  • Carcinoid Heart Disease / therapy*
  • Echocardiography, Doppler, Color
  • Female
  • Humans
  • Pulmonary Valve / diagnostic imaging
  • Pulmonary Valve / physiopathology
  • Pulmonary Valve Stenosis / diagnostic imaging
  • Pulmonary Valve Stenosis / physiopathology
  • Pulmonary Valve Stenosis / therapy*
  • Recovery of Function
  • Severity of Illness Index
  • Treatment Outcome
  • Tricuspid Valve / diagnostic imaging
  • Tricuspid Valve / physiopathology
  • Tricuspid Valve Stenosis / diagnostic imaging
  • Tricuspid Valve Stenosis / physiopathology
  • Tricuspid Valve Stenosis / therapy*