Carcinoid heart disease: a case report and literature review

Botero, Monica; Fuchs, Ralph; Paulus, David A.; Lind, D. Scott

doi:10.1016/s0952-8180(01)00353-1

Cited by 31 publications

(25 citation statements)

References 37 publications

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“…Reconstructive valve replacement surgery has been reported to be of obvious value for patients with advanced heart disease and right ventricular failure, with low mortality in young patients but high risk in patients older than 60 years of age [11,19,20] . However, in a recent metaanalysis, age was not found to be a contributing factor of higher mortality [21] .…”

Section: Carcinoid Syndrome: Pre-and Perioperative Therapymentioning

confidence: 99%

ENETS Consensus Guidelines for the Standards of Care in Neuroendocrine Tumors: Pre- and Perioperative Therapy in Patients with Neuroendocrine Tumors

et al. 2017

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Neuroendocrine tumors of the small intestine are the most common causes of the carcinoid syndrome. Carcinoid heart disease occurs in more than half of the patients with the carcinoid syndrome. Patients with carcinoid heart disease who need to undergo surgery should also undergo preoperative evaluation by an expert cardiologist. Treatment with long-acting somatostatin analogs aims at controlling the excessive hormonal output and symptoms related to the carcinoid syndrome and at preventing a carcinoid crisis during interventions. Patients with a gastrinoma require pre- and postoperative treatment with high doses of proton pump inhibitors. Patients with a glucagonoma require somatostatin analog treatment and nutritional supplementation. Patients with a VIPoma also require somatostatin analog treatment and intravenous fluid and electrolyte therapy. Insulinoma patients generally require intravenous glucose infusion prior to operation. In patients with localized operable insulinoma, somatostatin analog infusion should only be considered after the effect of this therapy has been electively studied.

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Section: Carcinoid Syndrome: Pre-and Perioperative Therapymentioning

confidence: 99%

ENETS Consensus Guidelines for the Standards of Care in Neuroendocrine Tumors: Pre- and Perioperative Therapy in Patients with Neuroendocrine Tumors

et al. 2017

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“…Reconstructive valve replacement surgery has been reported to be of obvious value for patients with advanced heart disease and right ventricular failure, with low mortality in young persons but high risk in patients older than 60 years of age [8,11,12,13, 15]. During cardiac surgery, risks for carcinoid crisis may be high because patients often require vasoactive medication to support the circulatory system, which may trigger carcinoid crisis.…”

Section: Small Intestinal Net: Pre- and Perioperative Therapymentioning

confidence: 99%

ENETS Consensus Guidelines for the Standards of Care in Neuroendocrine Tumors: Pre- and Perioperative Therapy in Patients with Neuroendocrine Tumors

Akerström

Falconi²,

Kianmanesh

et al. 2009

Neuroendocrinology

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“…The site of origin affects the clinical presentation, secretion of vasoactive substances, signs and symptoms of carcinoid syndrome, and overall survival [23] ( Table 1). Foregut carcinoids are found from the esophagus to the duodenum.…”

Section: Introductionmentioning

confidence: 99%