Atypical presentation of a carcinoid syndrome
Sirois, I.; Pothier, J.; Couture, C.; Bolduc, P.
Canadian Journal of Cardiology 15(4): 469-471
1999
ISSN/ISBN: 0828-282X PMID: 10322257 Document Number: 506113
A 76-year-old woman presenting with right heart failure is reported. The investigation showed an ileal carcinoid tumour with multiple metastases and tricuspid regurgitation caused by a cardiac carcinoid lesion. Echocardiographic study and histopathological examination revealed typical characteristics of carcinoid heart disease. Nevertheless, except for the cardiac symptomatology, the patient did not show any other clinical manifestation of the carcinoid syndrome. Isolated right heart failure as the first sign of a carcinoid syndrome is rare; only two other cases have been described in the literature.