PathWays Case Study: Sept. 13

 

A 69-year-old woman presented to her primary care provider with new concerns of episodic chest pain, palpitations, and hypotension. She additionally complained of profound shortness of breath and fatigue upon exertion. Transthoracic echocardiogram revealed severe tricuspid and pulmonary valve regurgitation. Abdominal imaging showed multiple hepatic lesions. She underwent surgical repair of the tricuspid valve, which resulted in the specimen shown in the image.

091316-1
Gross image of the Tricuspid Valve

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Dr. Joseph Maleszewski

Joseph Maleszewski, M.D.
Consultant, Division of Anatomic Pathology
Mayo Clinic
Associate Professor of Laboratory Medicine and Pathology and Associate Professor of Medicine,
Mayo Clinic College of Medicine
Follow him on Twitter: @joemaleszewski

 

 

Melanie Bois, M.D.

Melanie Bois, M.D.
Fellow, Cardiovascular Pathology
Mayo Clinic
Follow her on Twitter: @MelanieBoisMD

apriljosselyn

April Josselyn

April Josselyn is a Marketing Associate at Mayo Medical Laboratories. She is the editor of Mayo Clinic PathWays and supports corporate communications strategies and internal communications. She has worked at Mayo Clinic since 2012. Outside of work, April enjoys the outdoors and being "hockey mom" for her two sports-crazed boys.

Responses

Nice case. Thank you.

The correct answer is carcinoid heart disease.

Thank you for the exercise and knowledge

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