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CASE STUDIES

Transannular Pulmonary Enlargement and Bioprostheses for Carcinoid Disease

Cliff K Choong, MD1,2,3, Joseph E Arrowsmith, MD1, Andrew A Klein, FRCA1, Francis C Wells, FRCS1

1 Papworth Hospital NHS Foundation Trust, Cambridge, UK
2 Department of Surgery, The University of Cambridge, Cambridge, UK
3 Department of Surgery, Monash Medical Centre, Monash University, Melbourne, Victoria, Australia

Francis C Wells, FRCS, Tel: +44 1480 830541, Fax: +44 1480 364936, Email: francis.wells{at}papworth.nhs.uk, Papworth Hospital NHS Foundation Trust, Cambridge, CB23 8RE, UK.

A diminutive pulmonary artery and right ventricular outflow tract in a 46-year-old woman with a 10-year history of carcinoid syndrome required transannular pulmonary patch enlargement to allow replacement of the pulmonary and tricuspid valves with bioprostheses. The avoidance of anticoagulation permitted further hepatic arterial embolization without an increased risk of bleeding.

Key Words: Bioprosthesis • Carcinoid Heart Disease • Pulmonary Valve Stenosis • Tricuspid Valve Stenosis

Asian Cardiovasc Thorac Ann 2009; 17:510-512
© 2009 by SAGE Publications
DOI: 10.1177/0218492309348628




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