Journal of Cardiothoracic and Vascular Anesthesia 32 (2018) 1023–1031 Contents lists available at ScienceDirect Journal of Cardiothoracic and Vascular Anesthesia journal homepage: www.jcvaonline.com Review Article Anesthetic Management of Patients With Carcinoid Syndrome and Carcinoid Heart Disease: The Mount Sinai Algorithm n,‡,1 † Javier Castillo, MD , George Silvay, MD , Menachem Weiner, MD Department of Cardiovascular Surgery, The Mount Sinai Hospital, Mount Sinai Health System, New York, NY Department of Anesthesiology, Division of Cardiac Anesthesia, The Mount Sinai Hospital, Mount Sinai Health System, New York, NY Center for Carcinoid and Neuroendocrine Tumors, The Mount Sinai Hospital, Mount Sinai Health System, New York, NY Key Words: Carcinoid tumors; carcinoid syndrome; carcinoid heart disease; heart valve disease; perioperative anesthesia THE LAST DECADE has witnessed signiﬁcant break- substantial morbidity and mortality, particularly in the setting throughs in diagnosis and management of neuroendocrine of carcinoid syndrome (CaS) and carcinoid heart disease carcinoid tumors. This ﬁeld is currently one of the most (CaHD). dynamic areas of gastroenterology with an increasing number Although CaHD might be the ﬁrst manifestation of CaS in of clinical trials, a rapid availability of novel agents, and a up to 20% of patients, the presence of cardiac involvement wider range
Journal of Cardiothoracic and Vascular Anesthesia – Elsevier
Published: Apr 1, 2018
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