Author/Authors :
Barnebee, Daniel University of South Florida College of Medicine, Tampa, FL, USA , Morse, Brian Department of Diagnostic Imaging and Interventional Radiology - H. Lee Moffitt Cancer Center and Research Institute, Tampa FL, USA , Strosberg, Jonathan R. Department of Gastrointestinal Oncology - H. Lee Moffitt Cancer Center and Research Institute, Tampa FL, USA , Pejic, Marijan Department of Radiology - University of South Florida College of Medicine, Tampa, FL, USA , Jeong, Daniel Department of Diagnostic Imaging and Interventional Radiology - H. Lee Moffitt Cancer Center and Research Institute, Tampa FL, USA
Abstract :
A 76-year-old male with a small bowel neuroendocrine tumor with hepatic metastases presented with new onset lower extremity
swelling, bloating, and weight gain which ultimately lead to cardiac magnetic resonance (CMR) to evaluate for cardiac involvement
of disease. CMR showed right and left ventricular myocardial metastases along with findings suggestive of carcinoid heart disease.
The patient had severe tricuspid valve regurgitation necessitating surgical valve repair. The patient underwent bioprosthetic
tricuspid valve replacement and debulking of the metastases with surgical pathology confirming neuroendocrine tumor
metastases. Follow-up clinical evaluations at 3, 6, and 9 months postoperatively showed improvement in cardiac function and
stable hepatic tumor burden. This case demonstrates the utility of CMR to diagnose myocardial metastases and carcinoid heart
disease complicated by severe tricuspid regurgitation, which guided surgical management.
Keywords :
Cardiac Magnetic Resonance , Neuroendocrine , Tumor Metastases , Carcinoid , Heart Disease
