Carney complex: fourth time excision of recurrent atrial myxoma via left thoracotomy

Azzam, Raed; Abdelbar, Abdelrahman; Yap, Kok Hooi; Abousteit, Ahmed

doi:10.1136/bcr-2013-201827

Cited by 8 publications

(8 citation statements)

References 7 publications

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“…11 Patients should have an echocardiogram, or alternatively a cardiac CTscan or cardiac MRI, performed 6 months after their surgery for outpatient follow-up. 5 In our case, we utilized and advise multimodality cardiac imaging for presurgical planning and intraoperative TEE to guide surgical management. The cardiac CT scan in the preoperative period helped identify the left atrial myxomas that were not reported on the echocardiogram and cardiac MRI that were performed outside of our institution prior to our presurgical evaluation of the patient.…”

Section: Discussionmentioning

confidence: 99%

Multimodality Cardiac Imaging Enhances Diagnosis and Management of Recurrent Atrial Myxomas in Carney Complex

Patibandla

Brito

Sloyer

et al. 2021

CASE

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Section: Discussionmentioning

confidence: 99%

Multimodality Cardiac Imaging Enhances Diagnosis and Management of Recurrent Atrial Myxomas in Carney Complex

Patibandla

Brito

Sloyer

et al. 2021

CASE

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“…In isolated cardiac myxomas, surgical treatment is typically curative. However, patients with CNC showed higher recurrence rates (10‐21% vs 4‐7% for isolated myxomas) . Reasons for relapses include inadequate resections, intraoperative implantation of parts of the tumor, and multi‐centric tumor location .…”

Section: Discussionmentioning

confidence: 99%

“…However, patients with CNC showed higher recurrence rates (10-21% vs 4-7% for isolated myxomas). [30][31][32][33][34][35][36][37][38] Reasons for relapses include inadequate resections, intraoperative implantation of parts of the tumor, and multi-centric tumor location. 29,30,37 In our study, the rate of multiple cardiac myxomas in CNC was significantly higher than that of isolated cardiac myxomas (30% vs 11.17%, P < 0.05).…”

Section: Discussionmentioning

confidence: 99%

Clinical features and surgical results of cardiac myxoma in Carney complex

et al. 2019

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Background We sought to analyze clinical features and surgical results of 10 cases of cardiac myxomas in Carney complex (CNC). Methods Between January 2003 and December 2013, 10 patients with cardiac myxomas in CNC underwent surgical resection. Associated cardiac lesions included moderate and severe mitral regurgitation in two cases, and moderate tricuspid regurgitation in one case. Age, gender, the incidence of arterial embolism, the rate of multiple cardiac myxomas, and the recurrence rate after resections of cardiac myxoma were compared between isolated cardiac myxomas and cardiac myxomas in CNC. Results The incidence of cardiac myxoma in CNC was 1.74% (10/574). There were no deaths following surgery. There was one late death due to cerebral embolism 40 months following a reoperation (10%). A significant difference was found in the age, the incidence of arterial embolism, the rate of multiple cardiac myxomas, and the recurrence rate after resection of cardiac myxoma between cardiac myxoma in CNC and isolated cardiac myxoma (P < 0.05). There was no significant difference in gender between cardiac myxoma in CNC and isolated cardiac myxoma (P > 0.05). Conclusions Complex myxomas in CNS present at an earlier age, are more prevalent in women than in men, are more often multicentric, with a higher rate of arterial embolism and a high recurrence rate after resection. Close follow‐up for cardiac myxoma in CNC after surgery is necessary due to the high recurrence rate.

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“…showed a patient with Carney complex who had four recurrent of CM, all in the LA. The patient underwent excision four times and was tumor-free at 36-month follow-up [ 38 ].…”

Section: Discussionmentioning

confidence: 99%

Recurrent Cardiac Myxoma Treated by Orthotopic Heart Transplantation: A Case Report and Literature Review of Heart Transplantation for Primary Cardiac Tumor

Kewcharoen

Prasongdee

Sinphurmsukskul

et al. 2018

Case Reports in Transplantation

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Primary cardiac myxoma is the most common primary cardiac tumor. Tumor resection is the treatment of choice and overall long-term prognosis is good and recurrence is rare. This report presents a case of a young girl who presented with multiple recurrent cardiac myxoma. She underwent 3 sternotomy surgeries of 3 separated episodes of cardiac myxoma resection. On the fourth recurrence, the patient underwent orthotopic heart transplant. The patient tolerated the procedure well and is alive 6 months after the procedure with NYHA class I. We reviewed evidences and summarized reported cases of orthotopic heart transplant operation for primary cardiac tumor in the literature.

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Carney complex: fourth time excision of recurrent atrial myxoma via left thoracotomy

Cited by 8 publications

References 7 publications

Multimodality Cardiac Imaging Enhances Diagnosis and Management of Recurrent Atrial Myxomas in Carney Complex

Multimodality Cardiac Imaging Enhances Diagnosis and Management of Recurrent Atrial Myxomas in Carney Complex

Clinical features and surgical results of cardiac myxoma in Carney complex

Recurrent Cardiac Myxoma Treated by Orthotopic Heart Transplantation: A Case Report and Literature Review of Heart Transplantation for Primary Cardiac Tumor

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