Carcinoid Heart Disease: A Rare Cause of Right Ventricular Dysfunction Evaluation by Transthoracic 2D, Doppler and 3-D Echocardiography
| Autor: | Federica Agrusta, Marco Agrusta, Federico Cacciapuoti, Arcangelo Midolla, Gisberta Chiorazzo |
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| Přispěvatelé: | CACCIAPUOTI F., Vio, Agrusta, M, Chiorazzo, G, Midolla, A, Agrusta, F, Cacciapuoti, Federico |
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Carcinoid heart disease
medicine.medical_specialty Tricuspid valve incompetence Ejection fraction business.industry Case Report Stroke volume Tricuspid insufficiency RV function medicine.disease Tricuspid Valve Insufficiency 2-D and 3-D echocardiography Internal medicine Heart failure medicine Cardiology Carcinoid Heart Disease cardiovascular system Radiology Nuclear Medicine and imaging Carcinoid tumour cardiovascular diseases Tricuspid Valve Regurgitation Cardiology and Cardiovascular Medicine business |
| Zdroj: | Journal of Cardiovascular Ultrasound |
| ISSN: | 2005-9655 1975-4612 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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