Author/Editor		Loyalka, Pranav; Schechter, Michael; Nascimbene, Angelo; Sundara Raman, Ajay; Ilieascu, Cezar A.; Gregorič, Igor; Kar, Biswajit
Title		Transcatheter pulmonary valve replacement in a carcinoid heart
Type		članek
Vol. and No.		Letnik 43, št. 4
Publication year		2016
Volume		str. 341-344
ISSN		0730-2347 - Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital
Language		eng
Abstract		Carcinoid heart disease presents as right-sided heart failure attributable to the dysfunction of the tricuspid and pulmonary valves. Although surgical valve replacement is the mainstay of treatment when patients become symptomatic, it is associated with substantial periop - erative mortality rates. We present a case of severe pulmonary valve stenosis secondary to carcinoid heart dis - ease, treated successfully with percutaneous valve replacement. A 67-year-old man with severe pulmonary valve stenosis was referred to our center for pulmonary valve replace - ment. The patient had a history of metastatic neuroendocrine tumor of the small bowel with carcinoid syndrome, carcinoid heart disease, and tricuspid valve regurgitation previ - ously treated with surgical valve replacement. Because of the patient%s severe chronic obstructive pulmonary disease and hostile chest anatomy seen on a computed tomographic scan dating from previous cardiothoracic surgery, we considered off-label percutaneous valve replacement a viable alternative to open-heart surgery. A 29-mm Edwards S apien XT valve was successfully deployed over the native pulmonary valve. There were no adverse sequelae after the procedure, and the patient was discharged from the hospital the next day. This case report shows that percutaneous valve replacement can be a valid option in carcinoid heart disease patients who are not amenable to surgical valve replacement.
Keywords		carcinoid heart heart valve disease/therapy karcinoidno srce srčne zaklopke bolezen / zdravljenje