Pulmonary embolism from right ventricular myxoma in a child with undiagnosed Carney complex

Christopher A Atkins1, Katherine Cashen2, Kimberly Jackson2

  • 1Division of Pediatric Cardiology, Duke University Hospital, Durham, NC, USA.

PubMed

Insights

A child with breathing difficulties was diagnosed with bilateral pulmonary emboli caused by a right ventricular myxoma. Surgical removal of the tumor and clots led to a full recovery.

Area of Science:

  • Cardiology
  • Pediatric Medicine
  • Genetics

Background:

  • Pediatric pulmonary embolism (PE) is a rare but serious condition.
  • Carney complex is a rare genetic disorder predisposing individuals to tumors and skin pigmentation abnormalities.

Observation:

  • A child presented with dyspnoea (shortness of breath).
  • Imaging revealed bilateral pulmonary emboli and a large right ventricular myxoma.

Findings:

  • The patient was diagnosed with Carney complex, a likely underlying cause of the myxoma.
  • Surgical resection of the right ventricular myxoma and bilateral pulmonary embolectomy were performed.

Implications:

  • This case highlights the importance of considering rare underlying conditions in pediatric PE.
  • Successful surgical intervention for myxoma-associated PE can lead to excellent patient outcomes.
  • Early diagnosis and management of Carney complex are crucial for preventing complications.

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