RESUMO
There are very few cases described in literature with carcinoid heart disease caused by a pure ovarian tumor. Right heart failure remains the major cause of morbidity and mortality. Cardiac surgery is the only definitive treatment when cardiac symptoms become severe but with high perioperative mortality rates. We present a 68-year-old woman with a pure ovarian carcinoid tumor complicated with heart disease alive 7 years later after ovarian resection, without valve replacement and with regression of tricuspid and pulmonary injury. Echocardiography was the diagnostic clue.
Assuntos
Doença Cardíaca Carcinoide/diagnóstico por imagem , Doença Cardíaca Carcinoide/etiologia , Ecocardiografia Transesofagiana , Neoplasias Ovarianas/patologia , Idoso , Diagnóstico Diferencial , Feminino , Humanos , Neoplasias Ovarianas/cirurgiaRESUMO
A case of severe mitral regurgitation with refractory heart failure, after atrioventricular junction ablation and pacemaker implant, was solved with left ventricular pacing. Mitral regurgitation was related to a change in segmental left ventricular motion during right ventricular pacing.