{"id":399,"date":"2019-03-30T12:37:23","date_gmt":"2019-03-30T12:37:23","guid":{"rendered":"http:\/\/cardiophile.org\/?p=399"},"modified":"2019-03-30T12:37:23","modified_gmt":"2019-03-30T12:37:23","slug":"stuck-on-plaque-in-carcinoid-heart-disease","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/stuck-on-plaque-in-carcinoid-heart-disease\/","title":{"rendered":"Stuck on plaque in carcinoid heart disease and anorexigen associated valvular heart disease"},"content":{"rendered":"<h2><span style=\"color: #008000;\"><strong>Stuck on plaque in carcinoid heart disease and anorexigen associated valvular heart disease<\/strong><\/span><\/h2>\n<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/ZOklAYlj83Y\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<p><span style=\"color: #0000ff;\"><strong>&#8220;Stuck on plaque&#8221;<\/strong><\/span> is the description given to the lesions on the tricuspid valve in carcinoid heart disease and anorexigen associated valvular heart disease. The lesions appear &#8220;stuck on&#8221; the leaflets without inflammation or damage to the underlying valve structure [1, 2].<\/p>\n<p>An article in&nbsp;<a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJM199708283370901\"><em>NEJM <\/em>(free full text)<\/a> gives the image of a stuck on plaque on an excised mitral valve in fenfluramine associated valvular heart disease [3]. Histopathological section showed that the valve architecture was preserved. The plaque encased the chordae tendineae.<\/p>\n<p>C J Knott-Craig et al have reported on surgical management of ten patients with carcinoid heart disease. They have also described the &#8220;stuck on&#8221; appearance of the plaque on the undersurface of tricuspid leaflet [4].<\/p>\n<p>A large surgical pathology series in <em>Mayo Clinic Proceedings<\/em> on 139 valves from 75 patients over two decades also describes the lesions in carcinoid heart disease [5].<\/p>\n<p><strong><span style=\"color: #0000ff;\">Reference<\/span><\/strong><\/p>\n<ol>\n<li>Caccitolo JA, Connolly HM, Rubenson DS, Orszulak TA, Schaff HV. Operation for anorexigen-associated valvular heart disease. J Thorac Cardiovasc Surg. 2001;122:656-64.<\/li>\n<li>Proesmans S, Van Fraeyenhove F, Dossche K, Mattelaer C, Scott B.&nbsp;Carcinoid heart disease: a remarkable recovery.&nbsp;Acta Clin Belg. 2015 Dec;70(6):453-6<\/li>\n<li>Connolly HM, Crary JL, McGoon MD, Hensrud DD, Edwards BS, Edwards WD, Schaff HV.&nbsp;<a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJM199708283370901\">Valvular heart disease associated with fenfluramine-phentermine<\/a>.&nbsp;N Engl J Med. 1997 Aug 28;337(9):581-8.<\/li>\n<li>C J Knott-Craig, H V Schaff, C J Mullany, L K Kvols, C G Moertel, W D Edwards, G K Danielson. Carcinoid disease of the heart. Surgical management of ten patients. J Thorac Cardiovasc Surg. 1992 Aug;104(2):475-81.<\/li>\n<li>Simula DV, Edwards WD, Tazelaar HD, Connolly HM, Schaff HV.&nbsp;Mayo Clin Proc. 2002 Feb;77(2):139-47.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Stuck on plaque in carcinoid heart disease and anorexigen associated valvular heart disease<\/p>\n","protected":false},"author":1,"featured_media":40775,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-399","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>&quot;Stuck on plaque&quot; tricuspid valve lesion in carcinoid heart disease<\/title>\n<meta name=\"description\" content=\"&quot;Stuck on plaque&quot; - lesion on tricuspid valve in carcinoid and anorexigen associated valvular disease. Appear &quot;stuck on&quot; leaflets without inflammation.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/stuck-on-plaque-in-carcinoid-heart-disease\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"&quot;Stuck on plaque&quot; tricuspid valve lesion in carcinoid heart disease\" \/>\n<meta property=\"og:description\" content=\"&quot;Stuck on plaque&quot; - lesion on tricuspid valve in carcinoid and anorexigen associated valvular disease. Appear &quot;stuck on&quot; leaflets without inflammation.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/stuck-on-plaque-in-carcinoid-heart-disease\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2019-03-30T12:37:23+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/stuck-on-plaque-in-carcinoid-heart-disease\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/stuck-on-plaque-in-carcinoid-heart-disease\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Stuck on plaque in carcinoid heart disease and anorexigen associated valvular heart disease\",\"datePublished\":\"2019-03-30T12:37:23+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/stuck-on-plaque-in-carcinoid-heart-disease\\\/\"},\"wordCount\":293,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/stuck-on-plaque-in-carcinoid-heart-disease\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"General Cardiology\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/stuck-on-plaque-in-carcinoid-heart-disease\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/stuck-on-plaque-in-carcinoid-heart-disease\\\/\",\"name\":\"\\\"Stuck on plaque\\\" tricuspid valve lesion in carcinoid heart disease\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/stuck-on-plaque-in-carcinoid-heart-disease\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/stuck-on-plaque-in-carcinoid-heart-disease\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2019-03-30T12:37:23+00:00\",\"description\":\"\\\"Stuck on plaque\\\" - lesion on tricuspid valve in carcinoid and anorexigen associated valvular disease. 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