Premium
Percutaneous balloon valvuloplasty in carcinoid pulmonary valve stenosis
Author(s) -
Rasmussen Vibeke Guldbrand,
Kanstrup Helle Lynge,
NielsenKudsk Jens Erik
Publication year - 2016
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.26321
Subject(s) - medicine , carcinoid heart disease , carcinoid syndrome , pulmonary valve stenosis , stenosis , pulmonary valve , percutaneous , bronchospasm , surgery , tricuspid valve , balloon , cardiology , malignancy , radiology , asthma
More than half of patients with carcinoid syndrome develop carcinoid valve disease. Both the tricuspid and pulmonary valve are often involved. Symptoms of carcinoid syndrome with flushing, diarrhea, and bronchospasm often precedes cardiac symptoms. We report a case of carcinoid initially presenting with rapid development of right heart failure due to severe pulmonary valve stenosis. In untreated carcinoid, there is a risk of carcinoid crisis with anesthesia and surgery. In local anesthesia, we performed a sub‐acute balloon pulmonary valvuloplasty. The procedure was successful without any residual pulmonary valve stenosis and with immediately relief of dyspnea. The final diagnostic workup for the underlying malignancy continued the day after valvuloplasty. © 2015 Wiley Periodicals, Inc.