A 37-year-old black woman presented with watery diarrhea, facial flushing, and progressive right heart failure. CT-guided biopsy of a liver mass revealed a neuroendocrine tumor. Elevated levels of 5-hydroxyindoleacetic acid confirmed the diagnosis of metastatic carcinoid syndrome. A two-dimensional Doppler echocardiogram shows the typical findings of carcinoid heart disease.
↵1 The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.
↵2 Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC 4-265, Houston, TX 77030.
- Copyright © 1997 by American Heart Association