1. Double Porcine Valve Replacement in Carcinoid Heart Disease
Fernando R. Gutierrez, M.D., Robert C. McKnight, M.D., Allan S. Jaffe, M.D., Philip A. Ludbrook, M.D., Daniel Biello, M.D., Clarence S. Weldon, M.D. 
CHEST 
Volume 81, Issue 1, Pages (January 1982)
DOI: /chest
Copyright © 1982 The American College of Chest Physicians Terms and Conditions

2. Figure 1A
left. PA chest film. Normal pulmonary vascularity and cardiomegaly. Right atrium greatly enlarged. B, right. Fifteen months postoperatively, heart size is much decreased. Note porcine valves in tricuspid and pulmonary positions.
CHEST  , DOI: ( /chest )
Copyright © 1982 The American College of Chest Physicians Terms and Conditions

3. Figure 1A
left. PA chest film. Normal pulmonary vascularity and cardiomegaly. Right atrium greatly enlarged. B, right. Fifteen months postoperatively, heart size is much decreased. Note porcine valves in tricuspid and pulmonary positions.
CHEST  , DOI: ( /chest )
Copyright © 1982 The American College of Chest Physicians Terms and Conditions

4. Figure 2A
left. Preoperative anterior view equilibrium cardiac blood pool study. Massive right atrial and right ventricular enlargement. Owing to massive right-sided enlargement, heart rotated clockwise so that left ventricle is not visible on this view (top row). The postoperative study (lower row) shows striking change with more normal-sized right ventricle with derotation of heart counterclockwise. Left ventricle visible and seen to contract normally. 2B, right is a diagrammatic representation of above. Diastolic frames shown on left, systolic on right.
CHEST  , DOI: ( /chest )
Copyright © 1982 The American College of Chest Physicians Terms and Conditions

5. Figure 2A
left. Preoperative anterior view equilibrium cardiac blood pool study. Massive right atrial and right ventricular enlargement. Owing to massive right-sided enlargement, heart rotated clockwise so that left ventricle is not visible on this view (top row). The postoperative study (lower row) shows striking change with more normal-sized right ventricle with derotation of heart counterclockwise. Left ventricle visible and seen to contract normally. 2B, right is a diagrammatic representation of above. Diastolic frames shown on left, systolic on right.
CHEST  , DOI: ( /chest )
Copyright © 1982 The American College of Chest Physicians Terms and Conditions

6. Figure 3
Right ventriculogram is right anterior oblique view. Marked tricuspid insufficiency into a greatly dilated right atrium.
CHEST  , DOI: ( /chest )
Copyright © 1982 The American College of Chest Physicians Terms and Conditions