Síndrome carcinoide y compromiso valvular cardiaco, a propósito de 2 casos

• Alejandro Paredes ^[1] ; Martín Valdebenito ^[1] ; Luigi Gabrielli ^[1] ; Pablo Castro ^[1] ; Ricardo Zalaquett ^[1]
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 142, Nº. 5, 2014, págs. 662-666
• Idioma: español
• Títulos paralelos:
  • Tricuspid and pulmonary valve involvement in carcinoid syndrome. Report of two cases
• Enlaces
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• Resumen

  • Carcinoid is a rare neuroendocrine tumor typically arising in the gastrointestinal tract that can cause heart valve involvement. We report two patients with carcinoid syndrome and tricuspid/pulmonary valve lesions. A 33-year-old male presenting with fatigue and weight loss: A tumor in the tail of the pancreas was found on an abdominal CAT scan. The percutaneous biopsy was informed as a carcinoid tumor. A trans-esophageal echocardiogram showed a tricuspid and pulmonary valve involvement, which was replaced surgically. The biopsy informed an extensive fibrous and myxoid degeneration of the valves. A 35-year-old male with a carcinoid syndrome and cardiac failure: An echocardiogram showed a severe tricuspid stenosis and severe pulmonary regurgitation. The patient was subjected to a double surgical valve replacement. The pathology report of the excised valve showed a deforming fibrous and myxoid valvulopathy.