Peptide Receptor Radionuclide Therapy with 177Lu-DOTATATE in Carcinoid Heart Disease: A Contraindication or a Promising Treatment Approach Bettering Chances for Corrective Surgery?

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FIGURE 1.
⁶⁸Ga-DOTATATE PET/CT axial slices showing partial response of hepatic lesions.
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FIGURE 2.
⁶⁸Ga-DOTATATE PET/CT maximum-intensity projection (MIP) showing partial response of hepatic lesions.

TABLE 2

2D Echocardiography Findings

Parameter	Before therapy	After 6 cycles
Right ventricular ejection fraction (%)	45	50
Right ventricle size (cm)	4.1	4.3
Right atrium size (cm)	5.8	6.0
Tricuspid regurgitation	Severe	Severe
Tricuspid stenosis	Severe	Moderate
Pulmonary stenosis	Moderate	Mild