Current Practice in Carcinoid Heart Disease and Burgeoning Opportunities

被引:5
作者
Lenneman, Carrie [1 ]
Harrison, David [2 ]
Davis, S. Lindsey [3 ]
Kondapalli, Lavanya [2 ]
机构
[1] Univ Alabama Birmingham, Dept Med, Div Cardiol, Birmingham, AL 35294 USA
[2] Univ Colorado, Dept Med, Div Cardiol, 12631 E 17th Ave Mail Stop B130, Aurora, CO 80045 USA
[3] Univ Colorado, Dept Med, Div Med Oncol, Aurora, CO USA
关键词
Carcinoid heart disease; Carcinoid syndrome; Neuroendocrine tumor; Tricuspid valve disease; Pulmonic valve disease; Valvular heart disease; Somatostatin analogs; Cardiac surgery; Carcinoid crisis; VALVE-REPLACEMENT; NEUROENDOCRINE TUMOR; MANAGEMENT;
D O I
10.1007/s11864-022-01023-6
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Opinion statement Cardiac surgery with tricuspid valve and potentially pulmonic valve replacement at an experienced center is currently the most effective strategy available for the treatment of carcinoid heart disease. Cardiac surgery for carcinoid heart disease requires a multidisciplinary team including cardiology, medical oncology, cardiothoracic anesthesia, and cardiac surgery. Without cardiac surgery, morbidity and mortality from carcinoid heart disease is high. Aggressive management of carcinoid before and after cardiac surgery is critical. Over time, though, circulating carcinoid hormones can lead to destruction of prosthetic valves as well, resulting in recurrent right heart failure. Percutaneous options for valve repair may be on the horizon for management of carcinoid heart disease.
引用
收藏
页码:1793 / 1803
页数:11
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