Raja Shahzad G, Bhattacharyya Sanjeev, Davar Joseph, Dreyfus Gilles D
Carcinoid Heart Disease Clinic, Department of Cardiology, Royal Free Hospital, London, UK.
Future Cardiol. 2010 Sep;6(5):647-55. doi: 10.2217/fca.10.87.
Cardiac involvement in patients with carcinoid disease is a well-recognized pathology. Early reports described right-sided heart involvement. More recently, both right- and left-sided heart disease have been reported. Progress of the treatment of carcinoid disease is leading to an increase in the number of patients presenting for surgery to treat valvular dysfunction. owing to improvements in the prognosis of the basic disease, valve replacement surgery is now a reasonable option in patients with severe valvular dysfunction. This article provides an overview of carcinoid heart disease with an emphasis on current outcomes, concerns and controversies associated with the surgical management of this disease.
类癌病患者的心脏受累是一种公认的病理情况。早期报告描述了右侧心脏受累。最近，右侧和左侧心脏病均有报道。类癌病治疗的进展导致因瓣膜功能障碍而接受手术治疗的患者数量增加。由于基础疾病预后的改善，瓣膜置换手术现在是重度瓣膜功能障碍患者的合理选择。本文概述类癌性心脏病，重点关注与该疾病手术管理相关的当前治疗结果、关注点和争议。
