eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2016-09-01 4 8 265 271 10.12691/ajmcr-4-8-5 AJMCR2016485 article Pramod Theetha Kariyanna drtkpram@gmail.com 1 Mirela Andrei 2 Cherif Abdelmalek 2 Ajay Kundra 2 Boris Avezbakiyev 2 James E. O'Donnell 3 Alexander Rozin 4 Department of Internal Medicine, State University of New York, Downstate Medical center, Brooklyn, N.Y, U.S.A. Division of Hematology-Oncology, Department of Internal Medicine, Brookdale University hospital and medical center, Brooklyn, N.Y, U.S.A. Department of Pathology, Brookdale University hospital and medical center, Brooklyn, N.Y, U.S.A. Department of Internal Medicine, Brookdale University hospital and medical center, Brooklyn, N.Y, U.S.A. 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. http://pubs.sciepub.com/ajmcr/4/8/5/ajmcr-4-8-5.pdf carcinoid syndrome right heart failure atypical presentation