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.
American Journal of Medical Case Reports.
2016,
Vol. 4 No. 8, 265-271
DOI: 10.12691/ajmcr-4-8-5
Copyright © 2016 Science and Education PublishingCite this paper: Pramod Theetha Kariyanna, Mirela Andrei, Cherif Abdelmalek, Ajay Kundra, Boris Avezbakiyev, James E. O’Donnell, 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.
Correspondence to: Pramod Theetha Kariyanna, Department of Internal Medicine, State University of New York, Downstate Medical center, Brooklyn, N.Y, U.S.A.. Email:
drtkpram@gmail.comAbstract
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.
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