Carcinoid heart disease

Authors

  • Stephen A. Geller Department of Pathology and Laboratory Medicine – David Geffen School of Medicine, UCLA, Los Angeles/CA – USA
  • Fernando Peixoto Ferraz de Campos Department of Internal Medicine – Hospital Universitário – Universidade de São Paulo, São Paulo/SP – Brazil

DOI:

https://doi.org/10.4322/acr.%25y.58880

Keywords:

Carcinoid Heart Disease, Tricuspid Valve, Pulmonary Valve, Carcinoma, Neuroendocrine, Serotonin

Abstract

The images are of the tricuspid valve and the pulmonic valve from the autopsy of a patient with mid-gut neuroendocrine carcinoma, carcinoid pattern, extensively metastatic to the liver. The patient had typical “carcinoid syndrome,” including clinical evidence of tricuspid and pulmonic stenosis and insufficiency. The tricuspid valve (left) shows slight retraction and distortion by the overlying endothelial deposition of plaque composed of acid mucopolysaccharide-rich matrix with varying amounts of smooth muscle cells and collagen fibers. The plaque material causes partial coalescence of chordae tendinae with effacement of the usual delicate strands. The pulmonic valve (right) shows more marked distortion with shrinkage and obliteration of cusps and coalescence at the commissures. Beneath the plaque the valves are intact.

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Published

2013-04-01

Issue

Vol. 3 No. 1 (2013)

Section

Image in focus

License

Authors of articles published by Autopsy and Case Report retain the copyright of their work without restrictions, licensing it under the Creative Commons Attribution License - CC-BY, which allows articles to be re-used and re-distributed without restriction, as long as the original work is correctly cited.

How to Cite

Geller, S. A., & Campos, F. P. F. de. (2013). Carcinoid heart disease. Autopsy and Case Reports, 3(1), 67-8. https://doi.org/10.4322/acr.%y.58880