UCL Discovery
UCL home » Library Services » Electronic resources » UCL Discovery

Contemporary Management of Severe Carcinoid Heart Disease

Geran, Suria Mano; Naidoo, Sargunann Naidu Krishnasamy; Hline, Aye Thida; (2025) Contemporary Management of Severe Carcinoid Heart Disease. JACC: Case Reports , 30 (6) , Article 102989. 10.1016/j.jaccas.2024.102989. Green open access

[thumbnail of Contemporary Management of CHD .pdf]
Preview
Text
Contemporary Management of CHD .pdf

Download (535kB) | Preview

Abstract

BACKGROUND Carcinoid heart disease (CHD), despite its rarity, is a serious complication of carcinoid syndrome (CS). Approximately 50% of patients with CS will develop CHD during the course of their disease. It predominantly affects the right-sided heart valves, leading to valve defect and right heart failure. In patients with advanced functional neuroendocrine tumors, diagnosing and managing CHD remains a challenge. CASE SUMMARY A 71-year-old male with a metastatic midgut neuroendocrine tumor and CS presented with worsening right heart failure. Despite initiating treatment appropriately, he deteriorated and ultimately died, highlighting the difficulty of CHD management in advanced cases. REVIEW SUMMARY Early detection and prompt management of CS are vital to prevent the progression to CHD. Therefore, a carefully planned sequential management approach should be developed for a generalized adaptation. Multidisciplinary care is vital, and new percutaneous interventions could provide promising options for high-risk patients. TAKE-HOME MESSAGE Routine screening of CHD in NET patients, timely intervention, and specialized multidisciplinary management are vital for improving outcomes in CHD.

Type: Article
Title: Contemporary Management of Severe Carcinoid Heart Disease
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.jaccas.2024.102989
Publisher version: https://doi.org/10.1016/j.jaccas.2024.102989
Language: English
Additional information: Copyright © 2025 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
URI: https://discovery.ucl.ac.uk/id/eprint/10212209
Downloads since deposit
3Downloads
Download activity - last month
Download activity - last 12 months
Downloads by country - last 12 months

Archive Staff Only

View Item View Item