Poyet R, Kerebel S, Pons F, Aletti M, Jego C, Cellarier G-R, Graffin B, Carli P, Carlioz R
Service de cardiologie et maladies vasculaires, hôpital d'instruction des armées Sainte-Anne, boulevard Sainte-Anne, 83800 Toulon-Naval, France.
Rev Med Interne. 2009 Jan;30(1):81-4. doi: 10.1016/j.revmed.2008.03.368. Epub 2008 May 12.
We report a 75-year-old woman with a severe and symptomatic valvular tricuspid dysfunction, revealing a carcinoid syndrome, confirmed by an octreotid scan and liver biopsy. Carcinoid heart disease is a common complication of carcinoid syndrome associated with poor prognosis. Despite new pharmacological treatment, valve replacement surgery is the only curative treatment. Early diagnosis and multidisciplinary management could improve prognosis and quality of life of these patients.