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Case report
Carney complex: left atrial myxoma in a patient with past pituitary microadenoma and lentiginosis
  1. Jeffrey Spindel1,
  2. Mohammad F Mathbout2,
  3. Travis Huffman1 and
  4. Shahab Ghafghazi2
  1. 1Internal Medicine, University of Louisville, Louisville, Kentucky, USA
  2. 2Cardiovascular Medicine, University of Louisville, Louisville, Kentucky, USA
  1. Correspondence to Dr Shahab Ghafghazi; shahab.ghafghazi{at}louisville.edu

Abstract

The Carney complex (CNC) is a rare autosomal dominant genetic complex that is characterised by multiple neoplasms consisting of neuroendocrine and cardiac tumours, with only 750 cases reported worldwide as of 2017. Cardiac tumours, in the context of the CNC, are of unique importance since the leading causes of death in patients with CNC are cardiac. To prevent sudden cardiac death and embolic events, a difficult diagnosis must be made and postdiagnostic screenings must be regular. We present a case of a 52-year-old man, with a medical history of pituitary microadenoma and facial lentiginosis, who presented with dyspnoea 2 months after suffering a cerebrovascular accident.

  • cardiovascular medicine
  • endocrinology
  • surgical diagnostic tests
  • pituitary disorders

https://doi.org/10.1136/bcr-2021-241742

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    Footnotes

    • Twitter @cardiology

    • Contributors JS wrote the case and discussion. TH wrote the abstract and summary sections. MFM interpreted the echocardiographic findings and performed a major revision. SG was the attending physician of record and performed a major revision. All authors have seen and approved of the final manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer-reviewed.