title: Primary Multiple Cardiac Myxomas in a Patient without the Carney Complex.
abstract: Cardiac tumors are rare, and multiple myxomas are even rarer. The latter phenomenon is mostly associated with the Carney complex, a dominantly inherited disease characterized by multiple primary cardiac myxomas, endocrinopathy, and spotty pigmentation of the skin. We report the rare case of a patient who did not have the Carney complex but had multiple primary cardiac tumors. A 78-year-old woman with a past history of breast cancer was referred to our hospital for further examination of multiple cardiac tumors. Echocardiography showed 4 tumors in the left atrium and left ventricle. We could not diagnose them preoperatively and decided to resect them surgically because they were mobile and could have caused embolism and obstruction. The postoperative pathological findings of all 4 tumors were myxomas, although the patient did not meet the diagnostic criteria of the Carney complex. Therefore, a rare case of multiple primary cardiac myxomas was diagnosed.
authors.affiliation: Department of Cardiology, Cardiovascular Center, Ogikubo Hospital, Tokyo, Japan.
authors.forename: Shohei
authors.initials: S
authors.lastname: Kataoka
authors.affiliation: Department of Cardiology, Cardiovascular Center, Ogikubo Hospital, Tokyo, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Otsuka
authors.affiliation: Department of Cardiology, Cardiovascular Center, Ogikubo Hospital, Tokyo, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Goto
authors.affiliation: Department of Cardiology, Cardiovascular Center, Ogikubo Hospital, Tokyo, Japan.
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Kahata
authors.affiliation: Department of Cardiology, Cardiovascular Center, Ogikubo Hospital, Tokyo, Japan.
authors.forename: Asako
authors.initials: A
authors.lastname: Kumagai
authors.affiliation: Department of Cardiology, Cardiovascular Center, Ogikubo Hospital, Tokyo, Japan.
authors.forename: Koji
authors.initials: K
authors.lastname: Inoue
authors.affiliation: Department of Cardiology, Cardiovascular Center, Ogikubo Hospital, Tokyo, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Koganei
authors.affiliation: Department of Cardiology, Cardiovascular Center, Ogikubo Hospital, Tokyo, Japan.
authors.forename: Kenji
authors.initials: K
authors.lastname: Enta
authors.affiliation: Department of Cardiology, Cardiovascular Center, Ogikubo Hospital, Tokyo, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Ishii
keywords: Carney complex; Multiple cardiac tumors; Myxoma