Toggle Main Menu Toggle Search

Open Access padlockePrints

Carcinoid Heart Disease: Early Outcomes after Surgical Valve Replacement in Nine Patients

Lookup NU author(s): Stephen Clark

Downloads

Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


Abstract

AIM: To describe the early outcomes of carcinoid patients undergoing surgical heart valve replacement. METHODS: In a retrospective study, records of patients with symptomatic carcinoid heart disease referred for valve surgery between 2012 and 2016 were reviewed. The perioperative and early postoperative outcomes were analyzed. RESULTS: Nine patients, with a mean age of 61 years (range 55-70 years) underwent cardiac surgery for carcinoid syndrome. 3 patients had quadruple valve replacement, 5 had tricuspid and pulmonary valves changed, while one had tricuspid, pulmonary, and aortic valves replaced. Right-sided valves were replaced with biological valves in 8 patients and a mechanical valve in 1 patient. Left-sided valves were replaced with a mechanical valve in 2 patients and with a biological valve in 1 patient. Mean postoperative follow-up was 24 months (range 6-50 months, median 16 months). All patients had a good left ventricle except one, in whom it was mildly impaired. The right ventricle was severely dilated in 4 patients, moderately in 2, and mildly in 3. One patient died of heart failure 10 days postoperatively. Functional improvement was noted in all survivors, and they were in New York Heart Association class I at last follow up. CONCLUSION: Although carcinoid syndrome is a rare and progressive disease, valve replacement in symptomatic patients is a reasonable option with survival benefit, low early postoperative mortality, without valve-related complications, and with functional improvement. Cardiac assessment is required in all patients with carcinoid disease from the earliest time of medical treatment to improve patients' result.


Publication metadata

Author(s): Mujtaba SS, Clark S

Publication type: Article

Publication status: Published

Journal: The Heart Surgery Forum

Year: 2018

Volume: 21

Issue: 1

Pages: E040-E043

Online publication date: 16/02/2018

Acceptance date: 02/04/2016

ISSN (print): 1098-3511

ISSN (electronic): 1522-6662

Publisher: The Heart Surgery Forum

URL: https://doi.org/10.1532/hsf.1855

DOI: 10.1532/hsf.1855

PubMed id: 29485963


Altmetrics

Altmetrics provided by Altmetric


Share