Clinical Presentation & Protocol
Patient Usually Complains Of
Patient with known neuroendocrine tumor (liver metastases) presents with profound right-sided heart failure (edema, ascites) and severe flushing/diarrhea.
Clinical Examination Findings
Episodic flushing, wheezing, ascites.
Treatment Protocol
Loop diuretics. Somatostatin analogs (Octreotide) to reduce serotonin. Surgical valve replacement (bioprosthetic preferred) before irreversible RV failure occurs.