Morphologic features of carcinoid heart disease as assessed by three-dimensional transesophageal echocardiography

Smruti S. Nalawadi, Robert J. Siegel, Edward Wolin, Run Yu, Alfredo Trento, Takahiro Shiota, Kirsten Tolstrup, Daniel Luthringer, Swaminatha Gurudevan

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Carcinoid heart disease (CHD) is a rare cause of valvular heart disease and carries a poor prognosis. CHD has a unique morphology and echocardiographic features that predominantly involve right-sided valvular structures. The diagnosis of CHD is usually made by two-dimensional transthoracic echocardiography (TTE). With the superior spatial resolution of real time three-dimensional transesophageal echocardiography (3DTEE), structural changes that occur in patients with CHD-associated valvular heart disease can be examined in greater detail. We undertook this study to examine the incremental value of 3DTEE in the diagnosis of CHD. Methods: A total of four patients with CHD underwent TTE, transesophageal echocardiography (TEE), and 3DTEE as part of their routine clinical evaluation. Results: TTE and TEE for all four patients revealed thickened, fibrosed, retracted, and malcoapted tricuspid leaflets with wide-open tricuspid valve regurgitation. 3DTEE en face imaging of the tricuspid valve demonstrated the characteristic morphologic features of CHD more clearly in all four patients. Conclusions: 3DTEE provides substantial incremental value over TTE in the assessment of characteristic CHD pathology and thus enhances the echocardiographic diagnosis of CHD.

Original languageEnglish (US)
Pages (from-to)1098-1105
Number of pages8
JournalEchocardiography
Volume27
Issue number9
DOIs
StatePublished - Oct 2010
Externally publishedYes

Fingerprint

Carcinoid Heart Disease
Three-Dimensional Echocardiography
Transesophageal Echocardiography
Echocardiography
Heart Valve Diseases
Tricuspid Valve Insufficiency
Tricuspid Valve

Keywords

  • three-dimensional transesophageal echocardiography
  • transesophageal echocardiography
  • tricuspid regurgitation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Nalawadi, S. S., Siegel, R. J., Wolin, E., Yu, R., Trento, A., Shiota, T., ... Gurudevan, S. (2010). Morphologic features of carcinoid heart disease as assessed by three-dimensional transesophageal echocardiography. Echocardiography, 27(9), 1098-1105. https://doi.org/10.1111/j.1540-8175.2010.01207.x

Morphologic features of carcinoid heart disease as assessed by three-dimensional transesophageal echocardiography. / Nalawadi, Smruti S.; Siegel, Robert J.; Wolin, Edward; Yu, Run; Trento, Alfredo; Shiota, Takahiro; Tolstrup, Kirsten; Luthringer, Daniel; Gurudevan, Swaminatha.

In: Echocardiography, Vol. 27, No. 9, 10.2010, p. 1098-1105.

Research output: Contribution to journalArticle

Nalawadi, SS, Siegel, RJ, Wolin, E, Yu, R, Trento, A, Shiota, T, Tolstrup, K, Luthringer, D & Gurudevan, S 2010, 'Morphologic features of carcinoid heart disease as assessed by three-dimensional transesophageal echocardiography', Echocardiography, vol. 27, no. 9, pp. 1098-1105. https://doi.org/10.1111/j.1540-8175.2010.01207.x
Nalawadi, Smruti S. ; Siegel, Robert J. ; Wolin, Edward ; Yu, Run ; Trento, Alfredo ; Shiota, Takahiro ; Tolstrup, Kirsten ; Luthringer, Daniel ; Gurudevan, Swaminatha. / Morphologic features of carcinoid heart disease as assessed by three-dimensional transesophageal echocardiography. In: Echocardiography. 2010 ; Vol. 27, No. 9. pp. 1098-1105.
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