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Development of severe intrapulmonary shunting in a patient with carcinoid heart disease after closure of a persistent foramen ovale: a case report.

Dominik SchüttlerKonstantinos MourouzisChristoph J AuernhammerKonstantinos D Rizas
Published in: European heart journal. Case reports (2021)
An echocardiographic assessment of the presence of a PFO is recommended in patients with NET as PFO closure minimizes the risk of left-sided carcinoid valve disease. Deterioration of symptomatic status in metastasized NET might also be due to a hepatopulmonary-like physiology with intrapulmonary shunting and arterial desaturation thought to be caused by vasoactive substances secreted by the tumour. This is a rare case describing the development of this syndrome after PFO closure.
Keyphrases
  • rare case
  • mitral valve
  • case report
  • pulmonary hypertension
  • aortic valve
  • left ventricular
  • early onset
  • drinking water
  • heart failure
  • coronary artery disease