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Carney Complex: Eleven Open Heart Operations in a Single Family

  • Han, Sung Joon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Han, Woosik (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Kang, Min-Woong (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Yu, Jae Hyeon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Kang, Shinkwang (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine) ;
  • Na, Myung Hoon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University School of Medicine)
  • Received : 2017.04.12
  • Accepted : 2017.06.29
  • Published : 2017.12.05

Abstract

Herein, we report on a family with Carney complex. Four members of the family underwent a total of 11 open heart operations as well as 9 other operations to treat extrathoracic masses. All the family members met at least 2 major clinical criteria and 1 supplemental criterion. We analyzed their genomic loci, including the protein kinase A regulatory subunit 1 gene. The results revealed no specific mutations, except for a common single nucleotide polymorphism. This case series of Carney complex emphasizes the importance of close longitudinal follow-up because of the high rate of tumor recurrence irrespective of the site. Clinicians should not overlook the specific features of familial myxoma.

Keywords

References

  1. Carney JA, Gordon H, Carpenter PC, Shenoy BV, Go VL. The complex of myxomas, spotty pigmentation, and endocrine overactivity. Medicine 1985;64:270-83. https://doi.org/10.1097/00005792-198507000-00007
  2. Kim MC, Lee JY, Park CC, You SY, Cho KS. Familial atrial myxoma with Carney's complex: 1 case. Korean J Thorac Cardiovasc Surg 1998;31:816-9.
  3. Kirschner LS, Carney JA, Pack SD, et al. Mutations of the gene encoding the protein kinase A type I-alpha regulatory subunit in patients with the Carney complex. Nat Genet 2000;26:89-92. https://doi.org/10.1038/79238
  4. Correa R, Salpea P, Stratakis CA. Carney complex: an update. Eur J Endocrinol 2015;173:M85-97. https://doi.org/10.1530/EJE-15-0209
  5. Maleszewski JJ, Larsen BT, Kip NS, et al. PRKAR1A in the development of cardiac myxoma: a study of 110 cases including isolated and syndromic tumors. Am J Surg Pathol 2014;38:1079-87. https://doi.org/10.1097/PAS.0000000000000202