CARCINOID HEART-DISEASE WITH SEVERE HYPOXIA DUE TO INTERATRIAL SHUNT THROUGH PATENT FORAMEN OVALE

Carcinoid heart disease occurs in approximately half of patients who h ave carcinoid syndrome and is the leading cause of death among these p atients. It is typically manifest as right-sided valvular lesions, usu ally tricuspid insufficiency and pulmonary valve stenosis. This case r eport describes the unusual presentation of a patient with carcinoid h eart disease and a large right-to-left shunt through a patent foramen ovale.