• I el-Rassi, M Oroudji, M Tapia, J P Depoix, I Henri, B Cormier, C Vissuzaine, and C Acar.
• Service de chirurgie cardiaque, hôpital Bichat Claude-Bernard, Paris.
• Arch Mal Coeur Vaiss. 1998 Jan 1;91(1):79-82.

AbstractCarcinoid cardiac disease is a common complication of metastatic carcinoid tumours. It is characterized by tricuspid regurgitation and pulmonary stenosis. A 68 years old woman with a metastatic carcinoid tumour was admitted to hospital for congestive cardiac failure secondary to severe tricuspid regurgitation. Typical carcinoid lesions of the tricuspid and pulmonary valves were observed at echocardiography. A double valve replacement was performed with a favourable outcome. Postoperative echocardiography showed a significant improvement in right ventricular function. Surgical management of carcinoid valvular heart disease of NYHA Stage III patients is associated with an improved 2 years survival (from 8 to 40%) despite a high operative mortality (about 27%). Cardiac surgery remains the only hope of long-term survival with a spectacular improvement in symptoms.

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