CURRENT ISSUES OF CARCINOID HEART DISEASE DIAGNOSIS AND MANAGEMENT (CLINICAL OBSERVATIONS)

Abstract

ABSTRACT. We report a case of progressive carcinoid heart disease (cHD) having caused readmission of a patient after excision of endocardium with arterial intima and multiple valve replacement. The data prove that in cases of combined valve heart disease of the right side it is necessary to assume the high probability of the carcinoid disease. Therefore, in spite of the high value of echocardiography, multispiral computed tomography (MScT), confirming the diagnosis, detecting metastases in different organs and determining the localization of the primary tumor, becomes particularly important. open heart surgery can be effective only when accompanied by operative therapy for the primary tumor with the use of somatostatin analogues.

Keywords

• carcinoid heart disease
• excision of endocardium and arterial intima
• multiple artificial heart valves
• echocardiography
• multispiral computed tomography of the heart