Heikali Daniel, Chang Nelson, Tabibiazar Ramin
Department of Internal Medicine, UCLA Medical Center, Los Angeles, CA, USA. Electonic correspondence:
David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
J Heart Valve Dis. 2017 May;26(3):321-326.
In patients with carcinoid syndrome, the development of carcinoid valve disease typically carries an unfavorable prognosis. We present the case of a patient with significant valvular dysfunction secondary to carcinoid valve disease. Valve replacement surgery was complicated by the development of prosthetic valve degeneration, ultimately requiring percutaneous valve implantation in a valve-in-valve fashion. The technical details of the case, as well as a review of carcinoid valve disease, including its pathophysiology, clinical manifestations, diagnostic features and management considerations, are presented.
在类癌综合征患者中，类癌瓣膜病的发展通常预后不良。我们报告一例继发于类癌瓣膜病的严重瓣膜功能障碍患者。瓣膜置换手术因人工瓣膜退变而复杂化，最终需要采用瓣中瓣方式进行经皮瓣膜植入。本文介绍了该病例的技术细节，以及对类癌瓣膜病的综述，包括其病理生理学、临床表现、诊断特征和管理考量。
