title: Recurrent atrial myxoma: resection for Carney complex through a minimally invasive approach.
abstract: Carney's complex is an autosomal dominant syndrome characterized by recurrent atrial myxomas with concurrent endocrinopathies and characteristic dermatologic features. We present the case of a woman who presented with a recurrent atrial myxoma after two previous resections for myxomas through median sternotomies. As a consequence, we utilized a minimally invasive right thoracotomy approach. We discuss the clinical and pathologic features of Carney complex and the importance of identifying individuals and families with this condition for treatment and counseling.
authors.affiliation: Vanderbilt Heart and Vascular Institute, Department of Cardiac Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee 37232-8802, USA. james.greelish@vanderbilt.edu
authors.forename: James P
authors.initials: JP
authors.lastname: Greelish
authors.forename: Subhasis
authors.initials: S
authors.lastname: Chatterjee
authors.forename: John G
authors.initials: JG
authors.lastname: Byrne
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods; D056733:Carney Complex / Q000000981:diagnostic imaging / Q000235:genetics* / Q000601:surgery*; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D005817:Genetic Counseling; D006325:Heart Atria / Q000473:pathology / Q000601:surgery*; D006338:Heart Neoplasms / Q000000981:diagnostic imaging / Q000235:genetics / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D009232:Myxoma / Q000000981:diagnostic imaging / Q000235:genetics / Q000601:surgery; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging / Q000235:genetics / Q000601:surgery*; D012086:Reoperation; D018570:Risk Assessment; D056346:Sternotomy / Q000379:methods; D013908:Thoracotomy / Q000379:methods*; D016896:Treatment Outcome