Carcinoid Crisis-Induced Acute Systolic Heart Failure

Manoj V Maddali; Catherine Chiu; Emily R Cedarbaum; Vidhushei Yogeswaran; Mohamed Seedahmed; Wendy Smith; Emily Bergsland; Nicholas Fidelman; Jamie L W Kennedy

doi:10.1016/j.jaccas.2020.08.026

Carcinoid Crisis-Induced Acute Systolic Heart Failure

JACC Case Rep. 2020 Oct 28;2(13):2068-2071. doi: 10.1016/j.jaccas.2020.08.026. eCollection 2020 Nov.

Authors

Manoj V Maddali¹, Catherine Chiu², Emily R Cedarbaum³, Vidhushei Yogeswaran¹, Mohamed Seedahmed⁴, Wendy Smith², Emily Bergsland⁵, Nicholas Fidelman⁶, Jamie L W Kennedy³

Affiliations

¹ Department of Medicine, University of California, San Francisco, San Francisco, California.
² Department of Anesthesia and Perioperative Care, University of California-San Francisco, San Francisco, California.
³ Department of Medicine, Division of Cardiology, University of California-San Francisco, San Francisco, California.
⁴ Department of Medicine, Division of Pulmonary, Critical Care, Allergy and Sleep Medicine, University of California-San Francisco, San Francisco, California.
⁵ Department of Medicine, Division of Hematology and Medical Oncology, University of California-San Francisco, San Francisco, California.
⁶ Department of Radiology and Biomedical Imaging, University of California-San Francisco, San Francisco, California.

Abstract

Carcinoid crisis is a life-threatening manifestation of carcinoid syndrome characterized by profound autonomic instability in the setting of catecholamine release from stress, tumor manipulation, or anesthesia. Here, we present an unusual case of carcinoid crisis leading to acute systolic heart failure requiring mechanical circulatory support. (Level of Difficulty: Intermediate.).

Keywords: CI, cardiac index; SVR, systemic vascular resistance; TACE, transcatheter arterial chemoembolization; acute heart failure; cardiac assist devices; inotropes.

Publication types

Case Reports