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Atypical presentation of a primary ovarian carcinoid tumour with carcinoid heart disease: diagnosis by transthoracic echocardiography
  1. Prashanth Panduranga,
  2. Mohammed Al-Mukhaini
  1. Department of Cardiology, Royal Hospital, Muscat, Oman
  1. Correspondence to Dr Panduranga Prashanth; prashanthp_69{at}

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Case summary

A 64-year-old Tanzanian female was admitted to the medical ward with large ascites and pedal oedema. An abdominal ultrasound detected a large right-ovarian mass without metastasis that was confirmed by CT scan. Her cancer antigen 125 was elevated at 766 IU/ml (normal, <35 IU/ml). An echocardiogram showed a dilated right side, along with severely thickened fibrotic tricuspid-valve leaflets which were tethered, retracted, shortened and immobile with lack of coaptation, and were fixed in the diastolic position (figure 1 A–C/movie). There were severe tricuspid regurgitation and …

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