Schulich school of Medicine and Dentistry logo Anesthesia and Perioperative Medicine Schulich School of Medicine & Dentistry

New case report by fellow and faculty members published in J Cardiothorac Vasc Anesth

Successful hepatectomy using venovenous bypass in a patient with carcinoid heart disease with severe tricuspid regurgitation

Suphathamwit A (fellow), Dhir A, Dobkowski W, Quan D.

INTRODUCTION

Gastrointestinal neuroendocrine tumor (GINET) is an uncommon, slow-growing tumor arising from neuroendocrine cells. Its incidence, about 2.5 to 5 cases per 100,000, has been increasing up to 10% per year. Its ability to synthesize and secrete active peptides and other neuroamines can lead to carcinoid syndrome, which may manifest as cutaneous flushing, gastrointestinal (GI) hypermobility, and bronchospasm. Carcinoid heart disease is a process of endomyocardial fibroelastosis usually affecting the right heart valves (tricuspid and pumonic) with involvement of subvalvular apparatus.

View the case report in PubMed