Noninvasive evaluation of right hemodynamics in carcinoid heart disease: A case report
Autor: | Roberto Ferrari, Marianna Nardozza, Donato Mele |
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Rok vydání: | 2016 |
Předmět: |
medicine.medical_specialty
business.industry Ultrasound Hemodynamics 030204 cardiovascular system & hematology medicine.disease Inferior vena cava 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine.vein Heart failure Pulmonary valve Internal medicine Right heart Cardiology Carcinoid Heart Disease Medicine Radiology Nuclear Medicine and imaging 030212 general & internal medicine Radiology Respiratory system business |
Zdroj: | Journal of Clinical Ultrasound. 45:355-361 |
ISSN: | 0091-2751 |
DOI: | 10.1002/jcu.22413 |
Popis: | 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. |
Databáze: | OpenAIRE |
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