Key result
Ovarian tumor resection alone yields ~7-year survival and valve regression in carcinoid heart disease.
Why the study?
Carcinoid heart disease caused by a pure ovarian tumor is rare, and cardiac surgery carries high perioperative mortality despite being the definitive treatment for severe cardiac symptoms.
Case Report (n=1)
Answers are grounded in this paper and cite their sources.
May support deferring valve surgery after ovarian resection in select cases; leaves open need for prospective data before broader adoption.
There are very few cases described in literature with carcinoid heart disease caused by a pure ovarian tumor. Right heart failure remains the major cause of morbidity and mortality. Cardiac surgery is the only definitive treatment when cardiac symptoms become severe but with high perioperative mortality rates. We present a 68-year-old woman with a pure ovarian carcinoid tumor complicated with heart disease alive 7 years later after ovarian resection, without valve replacement and with regression of tricuspid and pulmonary injury. Echocardiography was the diagnostic clue.
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Alberca et al. (2006) conducted a case report in carcinoid heart disease caused by a pure ovarian tumor (n=1). Ovarian tumor resection without cardiac surgery was evaluated on survival and regression of tricuspid and pulmonary injury. Ovarian tumor resection without cardiac surgery in a 68-year-old woman with carcinoid heart disease led to 7-year survival with regression of tricuspid and pulmonary injury.
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