Department of Surgery 1, Faculty of Medicine, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan.
Second Department of Internal Medicine, University of Toyama, Toyama, Japan.
Gen Thorac Cardiovasc Surg. 2022 Jan;70(1):87-91. doi: 10.1007/s11748-021-01719-w. Epub 2021 Oct 12.
Carney complex is a rare syndrome caused by a genetic mutation leading to multiple endocrine abnormalities and a variety of tumors. Here, we report a case of Carney complex diagnosed due to recurrent multiple myxomas in the right atrium of a patient 16 years after the resection of the primary left atrial myxoma. Surgical excision was performed for the multiple recurrent right atrial tumors under cardiopulmonary bypass. The patient remained complication-free after surgery and was discharged on the 14th day. He was scheduled to continue echocardiographic follow-up and periodic systemic review by an endocrinologist. This case emphasizes the fact that if cardiac myxomas tend to be multiple and recurrent at a relatively young age, the possibility of Carney complex should be considered, even in the absence of any other related feature other than cardiac tumors.
卡尼综合征是一种罕见的综合征，由基因突变引起，导致多种内分泌异常和多种肿瘤。在这里，我们报告了一例卡尼综合征的病例，该患者在左心房黏液瘤切除 16 年后，因右心房多发性黏液瘤而被诊断。在体外循环下对多发复发性右心房肿瘤进行手术切除。患者术后无并发症，并在第 14 天出院。他被安排继续进行超声心动图随访和内分泌专家的定期系统检查。该病例强调了一个事实，即如果心脏黏液瘤倾向于多发且在相对年轻的年龄复发，则即使没有任何其他相关特征，除了心脏肿瘤之外，也应考虑卡尼综合征的可能性。
