Millward M J, Blake M P, Byrne M J, Hung J, Gibson P
Department of Medical Oncology, Sir Charles Gairdner Hospital, Perth, WA.
Aust N Z J Med. 1989 Dec;19(6):716-7. doi: 10.1111/j.1445-5994.1989.tb00343.x.
The manifestations of carcinoid heart disease are usually right heart failure due to pulmonary and tricuspid valve disease and sometimes high output failure due to peripheral vasodilation. Recently there has been one case report of progressive central cyanosis due to right to left shunting through a patent foramen ovale. We present a similar case where such a shunt developed and was also complicated by significant valvular disease affecting the left side of the heart.
类癌心脏病的表现通常是由于肺和三尖瓣疾病导致的右心衰竭，有时也会因外周血管扩张导致高输出量衰竭。最近有一例病例报告，患者因卵圆孔未闭导致右向左分流而出现进行性中心性发绀。我们现报告一例类似病例，该患者也出现了这种分流，并且还合并有影响心脏左侧的严重瓣膜疾病。
