Carcinoid heart disease from ovarian primary presenting with acute pericarditis and biventricular failure

D. Vergani, L. Massironi, F. Lombardi, C. Fiorentini

Research output: Contribution to journalArticle

Abstract

A case is described of a 54 year old woman who had acute pericarditis with large exudative effusion accompanied by severe right and left ventricular failure. The patient was finally diagnosed with carcinoid heart disease from an ovarian carcinoma teratoma. She was treated with octreotide - a somatostatin analogue - followed by radical surgical resection of the neoplasm. At one year follow up only mild carcinoid tricuspid regurgitation remained. Only 16 cases of carcinoid heart disease from an ovarian primary have been described in literature. Moreover clinically manifest acute, non- metastatic pericarditis and left heart failure are not considered as possible presentations of carcinoid heart disease, whatever the origin. In a recent series a small pericardial effusion was considered an infrequent and unexpected echocardiographic finding in carcinoid heart patients. One case of 'carcinoid pericarditis' has previously been described as a consequences of pericardial metastasis. Left side heart involvement is usually caused by bronchial carcinoids or patency of foramen ovale; both were excluded in the case presented.

Original languageEnglish
Pages (from-to)623-626
Number of pages4
JournalHeart
Volume80
Issue number6
Publication statusPublished - 1998

Keywords

  • Acute pericarditis
  • Carcinoid heart disease
  • Heart failure
  • Ovarian tumour

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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