Histologically Proven Myocardial Carcinoid Metastases: The Value of Multimodality Imaging

Annina A Studer Bruengger; Kshama Wechalekar; Rajdeep Khattar; Stuart D Rosen; Jan Lukas Robertus; Ian Chau; Daniel Morganstein; Ulrich Rosendahl; Alexander Lyon; Raad Mohiaddin

doi:10.1016/j.cjca.2017.06.007

Histologically Proven Myocardial Carcinoid Metastases: The Value of Multimodality Imaging

Can J Cardiol. 2017 Oct;33(10):1336.e9-1336.e12. doi: 10.1016/j.cjca.2017.06.007. Epub 2017 Jun 16.

Affiliations

¹ NIHR Cardiovascular Biomedical Research Unit, Royal Brompton and Harefield NHS Trust, London, UK; Department of Cardiology, City Hospital Triemli, Zurich, Switzerland.
² Imperial College London, National Heart and Lung Institute, London, UK.
³ NIHR Cardiovascular Biomedical Research Unit, Royal Brompton and Harefield NHS Trust, London, UK; Imperial College London, National Heart and Lung Institute, London, UK.
⁴ Imperial College London, National Heart and Lung Institute, London, UK; Department of Pathology, Royal Brompton and Harefield NHS Trust, London, UK.
⁵ Department of Medicine, Royal Marsden NHS Foundation Trust, London, UK.
⁶ Imperial College London, National Heart and Lung Institute, London, UK; Department of Medicine, Royal Marsden NHS Foundation Trust, London, UK; Department of Endocrinology, Chelsea and Westminster NHS Trust, London, UK.
⁷ Imperial College London, National Heart and Lung Institute, London, UK; Department of Cardiac Surgery, Royal Brompton and Harefield NHS Trust, London, UK.
⁸ NIHR Cardiovascular Biomedical Research Unit, Royal Brompton and Harefield NHS Trust, London, UK; Imperial College London, National Heart and Lung Institute, London, UK. Electronic address: r.mohiaddin@rbht.nhs.uk.

PMID: 28867261
DOI: 10.1016/j.cjca.2017.06.007

Abstract

We present a case of a patient with intramyocardial metastases from a carcinoid tumor. These findings were detected using cardiovascular magnetic resonance imaging, with functional metabolic activity analyzed using nuclear imaging and confirmed by histologic findings at surgical biopsy. This case highlights the value of cardiovascular magnetic resonance imaging and the importance of multimodality imaging.

Publication types

Case Reports
Video-Audio Media
Research Support, Non-U.S. Gov't

MeSH terms

Biopsy
Carcinoid Tumor / diagnosis
Carcinoid Tumor / secondary*
Carcinoid Tumor / surgery
Cardiac Surgical Procedures / methods
Diagnosis, Differential
Echocardiography, Doppler / methods
Heart Neoplasms / diagnosis
Heart Neoplasms / secondary*
Heart Neoplasms / surgery
Heart Ventricles / diagnostic imaging
Humans
Ileal Neoplasms / pathology*
Ileocecal Valve*
Magnetic Resonance Imaging, Cine / methods
Male
Middle Aged
Multimodal Imaging / methods*
Myocardium / pathology*