Carcinoid heart disease secondary to ovarian tumour: a logical sequence of management?

Abstract

There are only few reported cases of carcinoid heart disease caused by ovarian tumours. The main cause of morbidity and mortality in these patients is right heart failure. Most cases of carcinoid heart disease have liver metastases and undergo cardiac surgery, followed by liver resection. Ovarian carcinoids cause heart lesions without liver metastasis. Hence, we managed the primary tumour first under octreotide cover, followed by cardiac surgery with a favourable result.

Keywords: tricuspid valve, pulmonary valve, carcinoid, octreotide