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European Journal of Echocardiography 2007 8(6):497-500; doi:10.1016/j.euje.2006.07.003
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Copyright © 2007, The European Society of Cardiology

Echocardiographic diagnosis of carcinoid disease: Exceptional evolution after ovarian tumor resection without cardiac surgery

Oscar Gonzáleza,*, Maria Teresa Albercaa and Carlos Santonjab

aService of Cardiology, Hospital Universitario de Getafe, Madrid, Spain
bDepartment of Pathology, Hospital Universitario de Getafe, Madrid, Spain

Received 8 April 2006; received in revised form 7 July 2006; accepted after revision 16 July 2006.

* Corresponding author. Tel.: +34 916839360. ogl1976{at}yahoo.es


  Abstract

There are very few cases described in literature with carcinoid heart disease caused by a pure ovarian tumor. Right heart failure remains the major cause of morbidity and mortality. Cardiac surgery is the only definitive treatment when cardiac symptoms become severe but with high perioperative mortality rates. We present a 68-year-old woman with a pure ovarian carcinoid tumor complicated with heart disease alive 7 years later after ovarian resection, without valve replacement and with regression of tricuspid and pulmonary injury. Echocardiography was the diagnostic clue.

Keywords: Ovarian tumor; Carcinoid disease; Tricuspid regurgitation


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