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(Circulation. 1997;95:1346.)
© 1997 American Heart Association, Inc.

Articles

Carcinoid Heart Disease

Carlos M. Gaos, MD; Maher M. Nasser, MD; Susan Wilansky, MD^1,2

the Department of Adult Cardiology, St Luke's Episcopal Hospital and the Texas Heart Institute, Houston.

Correspondence to Susan Wilansky, MD, Department of Adult Cardiology, St Luke's Episcopal Hospital, 6720 Bertner Ave, MC 1-102, Houston, TX 77030.

	Introduction

 
A 37-year-old black woman presented with watery diarrhea, facial flushing, and progressive right heart failure. CT-guided biopsy of a liver mass revealed a neuroendocrine tumor. Elevated levels of 5-hydroxyindoleacetic acid confirmed the diagnosis of metastatic carcinoid syndrome. A two-dimensional Doppler echocardiogram shows the typical findings of carcinoid heart disease.

View larger version (257K): [in this window] [in a new window]   Figure 1. A, Two-dimensional echocardiogram of right ventricular inflow tract view. Tricuspid valve leaflets (TV) are thickened, rigid, and immobile during the entire cardiac cycle. RA indicates right atrium; RV, right ventricle. B, Same view as A, with color flow Doppler showing severe tricuspid regurgitation. C, Mild pulmonary stenosis, with a peak gradient (PV Grad) by continuous-wave Doppler of 9 mm Hg and mean gradient of 5 mm Hg.

	Footnotes

 
¹ The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.

² Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC 4-265, Houston, TX 77030.

(Circulation. 1997;95:1346.)