Castillo Javier G, Filsoufi Farzan, Rahmanian Parwis B, Adams David H
Department of Cardiothoracic Surgery, Mount Sinai Medical Center, New York, New York 10029-1028, USA.
J Card Surg. 2008 Sep-Oct;23(5):523-5. doi: 10.1111/j.1540-8191.2007.00560.x. Epub 2008 Mar 18.
We describe a 42-year-old male with primary carcinoid tumor of the ileum, secondary liver metastases, and subsequent severe carcinoid heart disease with quadruple valve involvement. The patient underwent tricuspid and pulmonic bioprosthetic valve replacement, mitral and aortic valve reconstruction. Transthoracic echocardiography at 25 months showed competent mitral and aortic valves with only mild regurgitation. Valve reconstruction is rarely performed in patients with carcinoid heart disease. However, in selected cases it is a valuable alternative technique with good mid-term outcome.
我们描述了一名42岁男性，患有回肠原发性类癌肿瘤、继发性肝转移，随后出现严重的类癌心脏病，累及四个瓣膜。该患者接受了三尖瓣和肺动脉生物瓣膜置换术，二尖瓣和主动脉瓣重建术。25个月时的经胸超声心动图显示二尖瓣和主动脉瓣功能良好，仅有轻度反流。类癌心脏病患者很少进行瓣膜重建。然而，在某些特定病例中，它是一种有价值的替代技术，中期效果良好。
