Journal of Clinical Images and Case Reports

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Olisaemeka Achike Author

achikeo16@ecu.edu

Subjects of specialization
Carcinoid heart disease, PFO, Serotonin, Diarrhea

Affiliation
Department of Cardiovascular Sciences, East Carolina University, Brody School of Medicine, East Carolina Heart Institute, USA

Biography

Olisaemeka Achike affiliated to the Department of Cardiovascular Sciences AT East Carolina University, Brody School of Medicine, East Carolina Heart Institute, USA, His current research interests include the Carcinoid heart disease; PFO; Serotonin.

Publications

Case Report Open Access

Carcinoid: Bringing Closure to PFO

Author(s):

Olisaemeka Achike*, Assad Movahed and Constantin B Marcu

Background: There is an increased prevalence of patent foramen ovale (PFO) in patients with carcinoid heart disease (CHD).

Case: A 67-year-old woman presented with dyspnea on exertion for 1 month associated with epigastric pain, weight loss and diarrhea. She was tachypneic, with oxygen saturation of 90 % on 30 liters per minute. There was grade 2/6 systolic murmur at left sternal border and raised jugular venous pulse. Alpha-fetoprotein, cancer antigen 19-9 and carcinoembryonic antigen were normal. Urine 5-hydroxyindoleacetic acid, serum serotonin and chromogranin A were high. Computed Tomography (CT) scan of chest ruled out pulmonary embolus. CT scan of abdomen showed hepatic metastatic masses, proven to be carcinoid tumor on biopsy. Transtho... view more»

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