Morphologic Features of Carcinoid Heart Disease as Assessed by Three‐Dimensional Transesophageal Echocardiography

Nalawadi, Smruti; Siegel, Robert J.; Wolin, Edward M.; Yu, Run; Trento, Alfredo; Shiota, Takahiro; Tolstrup, Kirsten; Luthringer, Daniel; Gurudevan, Swaminatha V.

doi:10.1111/j.1540-8175.2010.01207.x

Cited by 6 publications

(5 citation statements)

References 24 publications

(46 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…32,33 Rarer Metastatic Tumors: Chordomas and melanomas are relatively rare rumors, but melanoma is well known to have a unique tendency to localize in the heart or pericardium. RT3DTTE is particularly valuable for evaluation of cardiac carcinoid because (1) classically the tricuspid valve is involved, and (2) RT3DTTE is particularly noted for having strength for imaging the tricuspid valve enface and therefore visualizing all three leaflets.…”

Section: Carcinoidmentioning

confidence: 99%

See 1 more Smart Citation

Real Time Three‐Dimensional Echocardiography Evaluation of Intracardiac Masses

2012

View full text Add to dashboard Cite

The evaluation of cardiac masses is often a challenge for cardiac imaging techniques. The traditional standby has been two-dimensional echocardiography (2DE). Real time three-dimensional echocardiography (RT3DE) offers incremental value for the evaluation of intracardiac masses by providing more accurate assessment of the size and shape of the mass as well as in some cases, composition of the mass. RT3DE aids with the relationship between the mass and adjacent structures. Therefore, here we discuss the subject of RT3DE evaluation of cardiac masses is reviewed and discussed in detail.

show abstract

Section: Carcinoidmentioning

confidence: 99%

“…the tricuspid valve enface and therefore visualizing all three leaflets. 32,33 Rarer Metastatic Tumors: Chordomas and melanomas are relatively rare rumors, but melanoma is well known to have a unique tendency to localize in the heart or pericardium. Chordoma rarely metastasizes to the heart.…”

Section: Carcinoidmentioning

confidence: 99%

Real Time Three‐Dimensional Echocardiography Evaluation of Intracardiac Masses

2012

View full text Add to dashboard Cite

show abstract

“…In particular, TOE allows for improved visualisation of the pulmonic valve in comparison with TTE15 and may elucidate subtle abnormalities with the tricuspid valve when TTE is equivocal. In particular, the superior spatial resolution of real time three-dimensional TOE (3D TOE) can help determine which patients require valve replacement and can also prove very useful in preoperative planning 16. Lastly, there is at least one example where TOE was used to identify an intramyocardial metastatic neuroendocrine neoplasm 17…”

Section: Echocardiographymentioning

confidence: 99%

Multimodality imaging in carcinoid heart disease

Agha

Lopez‐Mattei²,

Donisan

et al. 2019

Open Heart

View full text Add to dashboard Cite

Neuroendocrine neoplasms arise from the gastrointestinal tract and can lead to carcinoid syndrome. Carcinoid heart disease affects more than half of these patients and is the initial presentation of carcinoid syndrome in up to 20 % of patients. Carcinoid heart disease typically leads to valve dysfunction, but in rare instances, carcinoid tumours can also metastasise to the endocardium and myocardium. Cardiovascular imaging plays an integral role in the diagnosis and prognosis of carcinoid heart disease. The use of multimodality imaging techniques including echocardiography, cardiac MRI, cardiovascular CT and positron emission tomography have allowed for a more comprehensive assessment of carcinoid heart disease. In this review, we discuss the features of carcinoid heart disease observed on multimodality imaging, indications for obtaining imaging studies and their role in carcinoid heart disease management.

show abstract

“…) and transesophageal (movie clips S2–S4, Figs. and ) echocardiography were performed . There was no evidence of left‐sided valvular involvement.…”

mentioning

confidence: 96%

A Case of Carcinoid Heart Disease with Desaturation and No Liver Metastases

et al. 2014

View full text Add to dashboard Cite

A 64-year-old woman was scheduled for a diagnostic laparoscopy to explore two ovarian masses that were recently discovered during a workup for diarrhea, abdominal pain, and weight loss (Fig. 1A). She presented with progressive dyspnea and hypoxemia on arterial blood gas (pO 2 48 mmHg and saturation 87% on room air). Transthoracic (movie clip S1, Fig. 2) and transesophageal (movie clips S2-S4, Figs. 3 and 4) echocardiography were performed. 1,2 There was no evidence of left-sided valvular involvement. There were no lesions in the liver on positron emission tomography-computed tomography (PET-CT). A positive octreotide scan (Fig. 1B) and elevated urinary 5-hydroxyindoleacetic acid level confirmed the diagnosis of carcinoid heart disease due to an ovarian carcinoid tumor. Although in 95% of cases the primary tumor is located in the gastrointestinal tract and hepatic inactivation of serotonin prevent symptoms from occurring until liver metastases are present, 3 carcinoid heart disease in patients with primary ovarian carcinoid tumors may develop in the absence of liver metastases as the venous drainage of the ovaries bypasses the portal circulation. Sandostatin intramuscular was initiated Figure 1. A. CT abdomen indicating two nodular masses (maximal diameter 12 cm), originating from both ovaries. B. Octreotide scan indicating the presence of somatostatine receptors in these masses and confirming the diagnosis of ovarian carcinoid tumor.

show abstract

Morphologic Features of Carcinoid Heart Disease as Assessed by Three‐Dimensional Transesophageal Echocardiography

Abstract: 3DTEE provides substantial incremental value over TTE in the assessment of characteristic CHD pathology and thus enhances the echocardiographic diagnosis of CHD.

Cited by 6 publications

References 24 publications

Real Time Three‐Dimensional Echocardiography Evaluation of Intracardiac Masses

Real Time Three‐Dimensional Echocardiography Evaluation of Intracardiac Masses

Multimodality imaging in carcinoid heart disease

A Case of Carcinoid Heart Disease with Desaturation and No Liver Metastases

Contact Info

Product

Resources

About