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Pieter G. Voigt
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Robert A.E. Dion
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Ann Thorac Surg 2005;79:2147-2149
© 2005 The Society of Thoracic Surgeons

Case report

Double Bioprosthetic Valve Replacement in Right-Sided Carcinoid Heart Disease

Pieter G. Voigt, MDa,*, Jerry Braun, MDa, Onno Y. Teng, MDa, Dave R. Koolbergen, MD, PhDa, Eduard Holman, MD, PhDb, Jeroen J. Bax, MD, PhDb, Vincent T.H.B.M. Smit, MD, PhDc, Robert A.E. Dion, MD, PhDa

a Department of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, the Netherlands
b Department of Cardiology, Leiden University Medical Center, Leiden, the Netherlands
c Department of Pathology, Leiden University Medical Center, Leiden, the Netherlands

Accepted for publication December 10, 2003.

* Address reprint requests to Dr Voigt, Department of Cardiothoracic Surgery, Leiden University Medical Center, Albinusdreef 2, Leiden 2333 ZA, the Netherlands (E-mail: p.g.voigt{at}lumc.nl).

A patient with tricuspid and pulmonary regurgitation due to carcinoid syndrome successfully underwent double bioprosthetic valve replacement. This technique avoids anticoagulation treatment in a patient with hepatic dysfunction and facilitates future hepatic de-arterialization as a treatment option in carcinoid disease. Advances in treatment of carcinoid syndrome may have reduced the risk of early bioprosthetic degeneration.






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