Heidinger syndrome - Carcinoid syndrome

Carcinoid heart disease was first described in 1954. It develops over 70% of carcinoid syndrome patients. Up to 20% patients with have pronounced at diagnosis. Cardiac involvement is usually well tolerated by Symptoms are associated secretion serotonin, tachykinin and other vasoactive substances the systemic circulation. Deposition fibrous tissue along tricuspid annulus leads ring constriction basis stenosis. Primary insular tumor ovary a very rare that accounts for less than 1% all cases. We present case 62-year-old woman, demonstrating shortness breath fatigue, diarrhea, redness progressive swelling on both lower legs. After single-photon emission computed tomography we found pathologically increased somatostatin expression formation pelvis. removal primary focus, patient received prosthetic valve good clinical results.