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[Complex myxoma detected by syncope: a case report].
Koichiro Ejima1, Tatsuro Uchida, Yasuki Hen
1Department of Cardiology, Sendai Cardiovascular Center, Hondacho 21-1, Izumi-ku, Sendai 981-3107.
Journal of Cardiology
|March 26, 2003
Summary
A young man presented with syncope and intracardiac masses, revealing multiple myxomas. This case highlights Carney complex, a rare genetic disorder characterized by cardiac myxomas and skin pigmentation.
Area of Science:
- Cardiology
- Genetics
- Pathology
Background:
- Carney complex is a rare genetic disorder.
- It is characterized by myxomas, lentigines, and spotty skin pigmentation.
- Cardiac myxomas are a common manifestation.
Observation:
- A 23-year-old man presented with syncope and intracardiac masses.
- Echocardiography revealed multiple cardiac myxomas and an abdominal wall mass.
- Histological examination confirmed myxomas and identified pigmented skin lesions.
Findings:
- The patient had multiple cardiac myxomas, including one obstructing the right ventricular outflow tract.
- An abdominal wall myxoma and multiple pigmented skin lesions were also present.
- Histopathology confirmed myxomas in all resected lesions.
Implications:
- The combination of findings strongly suggests Carney complex.
- Early diagnosis and management are crucial for patients with Carney complex.
- This case underscores the importance of a multidisciplinary approach in diagnosing rare genetic syndromes.