American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: http://www.sciepub.com/journal/ajmcr Editor-in-chief: Apply for this position
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American Journal of Medical Case Reports. 2016, 4(8), 265-271
DOI: 10.12691/ajmcr-4-8-5
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Right Heart Failure as “Sole” Presentation of Carcinoid Syndrome

Pramod Theetha Kariyanna1, , Mirela Andrei2, Cherif Abdelmalek2, Ajay Kundra2, Boris Avezbakiyev2, James E. O’Donnell3 and Alexander Rozin4

1Department of Internal Medicine, State University of New York, Downstate Medical center, Brooklyn, N.Y, U.S.A.

2Division of Hematology-Oncology, Department of Internal Medicine, Brookdale University hospital and medical center, Brooklyn, N.Y, U.S.A.

3Department of Pathology, Brookdale University hospital and medical center, Brooklyn, N.Y, U.S.A.

4Department of Internal Medicine, Brookdale University hospital and medical center, Brooklyn, N.Y, U.S.A.

Pub. Date: September 01, 2016

Cite this paper:
Pramod Theetha Kariyanna, Mirela Andrei, Cherif Abdelmalek, Ajay Kundra, Boris Avezbakiyev, James E. O’Donnell and Alexander Rozin. Right Heart Failure as “Sole” Presentation of Carcinoid Syndrome. American Journal of Medical Case Reports. 2016; 4(8):265-271. doi: 10.12691/ajmcr-4-8-5

Abstract

Carcinoid tumors are rare neuroendocrine tumors that arise from neural crest amine precursor uptake decarboxylation cells. Most of carcinoid tumors originate in the midgut. The vasoactive secretory products of carcinoid tumor upon metastasis to liver reach systemic circulation as they bypass the metabolism by liver. 50% of patients with carcinoid syndrome eventually develop carcinoid heart disease. We here present a rare case of carcinoid tumor with metastasis to liver that solely presented with right heart failure. The patient did not have any symptoms of typical carcinoid syndrome features such as flushing, diarrhea, and bronchoconstriction.

Keywords:
carcinoid syndrome right heart failure atypical presentation

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

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