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Monica L. McDonald
David M. Nagorney
Hartzell V. Schaff
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Ann Thorac Surg 1999;67:537-539
© 1999 The Society of Thoracic Surgeons

Case Reports

Carcinoid heart disease and carcinoid syndrome: successful surgical treatment

Monica L. McDonald, MDa, David M. Nagorney, MDa, Heidi M. Connolly, MDb, Rick A. Nishimura, MDb, Hartzell V. Schaff, MDc

a Division of Gastroenterologic and General Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA
b Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA
c Division of Thoracic and Cardiovascular Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota, USA

Accepted for publication July 15, 1998.

Address reprint requests to Dr Nagorney, Department of Surgery, Mayo Clinic, 200 First St SW, Rochester, MN 55905

Tumor debulking can greatly improve quality of life for patients with malignant carcinoid syndrome, but hepatic cytoreduction is confounded by carcinoid heart disease, which can cause postsinusoidal portal hypertension, thereby increasing the risk of death from hemorrhage during hepatic resection. We describe a patient with metastatic carcinoid syndrome and carcinoid heart disease who had repair of his carcinoid heart disease and, after improvement of right-sided heart function, had successful hepatic debulking of carcinoid metastases.




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