Multivalvular cardiac carcinoid syndrome: Looking beyond the rheumatic stigma

We report an intriguing case of multivalvular cardiac carcinoid syndrome with primary ovarian carcinoid tumour appearing as cystic teratoma. Since the systemic symptoms of carcinoid syndrome went unnoticed by previous caregivers, the patient was being treated as multivalvular heart disease of rheumatic etiology, a condition very prevalent in this part of India. In addition, the most challenging aspect of our case was the cardinal syncopal association, the cause of which was found to be prolong QTc monomorphic ventricular tachycardia, which is indeed a rare presentation.