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Hypotension following valve replacement surgery in carcinoid heart disease
Author(s) -
HAMID S. K.,
HARRIS D. N. F.
Publication year - 1992
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1992.tb02272.x
Subject(s) - medicine , carcinoid heart disease , carcinoid syndrome , cardiopulmonary bypass , octreotide , refractory (planetary science) , fluid replacement , surgery , anesthesia , valve replacement , cardiology , stenosis , somatostatin , physics , astrobiology
Summary We report the use of adrenaline in a 62‐year‐old woman with carcinoid heart disease who underwent double valve replacement. She was given an intravenous infusion of octreotide throughout the peri‐operative period. Following the termination of cardiopulmonary bypass she developed profound hypotension which proved to be refractory to various therapies but responded to adrenaline. Adrenaline is said to be contraindicated in carcinoid syndrome, but we would suggest the consideration of its use in such cases where the hypotension may result from myocardial depression rather than from a carcinoid crisis.