The carcinoid heart disease caused a lot of swelling to the point it was putting pressure on his abdomen and lungs. It made it uncomfortable to eat and bc he was on high doses of lasix it caused a lot of constipation. It was causing shortness of breath and he could only sleep in a recliner. He has lost a lot of weight. We were having paracentesis done every two weeks and they were pulling off 10 lbs of fluid. The team wanted him to have at least two Lanreotide shots before the surgery, as they were worried about carcinoid crisis happening from trauma of open heart surgery. They also did a heart Cath and determined there were some blockages and so they fixed those blockages at the same time they replaced the two valves. He was given ocreotide before during and after the surgery. We're ten days out and he's doing great.