Ablation of typical atrial flutter as therapeutic component in carcinoid heart disease: a case report

Journal of Medical Case Reports

Rolf Weinert¹  Leon Iden¹  Björn Becker¹  Ralph Tölg¹  Susann Groschke¹  Gert Richardt¹  Martin Borlich¹ 

[1] Heart Center, Segeberger Kliniken GmbH (Academic Teaching Hospital of the Universities of Kiel, Lübeck and Hamburg), Am Kurpark 1, 23795, Bad Segeberg, Schleswig-Holstein, Germany;

关键词: Carcinoid heart disease;    Hedinger syndrome;    Ablation;    Typical atrial flutter;    Neuroendocrine tumor;   

DOI  :  10.1186/s13256-022-03251-8

来源: Springer

【 摘 要 】

BackgroundCarcinoid heart disease is the cardiac manifestation of carcinoid syndrome. There is limited research on rhythm management in patients with carcinoid heart disease. The association of typical atrial flutter and carcinoid heart disease in particular is poorly described.Case presentationHere we present a case of a 77-year-old German woman with carcinoid heart disease and recurrent typical atrial flutter complicating the postoperative course after tricuspid valve replacement and its successful long-term rhythm control by ablation therapy.ConclusionThere is limited evidence on rhythm management in patients with the rare diagnosis of carcinoid heart disease. Typical atrial flutter repeatedly complicated the postoperative course of our patient with carcinoid heart disease and could finally be treated curatively by ablation. Radiofrequency ablation should be considered as a valuable therapeutic component in the challenging therapy of this disease.

【 授权许可】

CC BY