Genetic testing of the family with a Carney‐complex member leads to successful early removal of an asymptomatic atrial myxoma in the mother of the patient
pmid: 12752185
Genetic testing of the family with a Carney‐complex member leads to successful early removal of an asymptomatic atrial myxoma in the mother of the patient
SummaryCarney complex is a rare cardiocutaneous syndrome with an autosomal‐dominant inheritance pattern. Apart from its cutaneous manifestations of multiple blue naevi and lentigines, it can involve multiple other organ systems, particularly the heart, where myxoma tumours commonly develop and can potentially lead to serious complications such as cerebrovascular accidents and myocardial infarction. Recently, a specific mutation in the gene encoding the R1‐α regulatory subunit of cyclic adenosine monophosphate‐dependent protein kinase A (PRKAR1α) has been discovered and found to be associated with a high risk of developing cardiac myxomas. We report the case of a Carney‐complex family member who displayed no observable clinical or cardiac features of the disease but who was found to be positive for the PRKAR1α gene mutation on genetic testing. Further evaluation of this patient subsequently led to the discovery of a 3‐cm atrial myxoma that had previously been undetected on cardiac assessment. This case highlights the potential benefits of using genetic screening for this disease.
- Liverpool Hospital Australia
- Royal Hobart Hospital Australia
- Westmead Hospital Australia
Adult, Male, Mitogen-Activated Protein Kinase 1, Time Factors, Syndrome, Prognosis, Risk Assessment, Pedigree, Heart Neoplasms, Treatment Outcome, Nevus, Blue, Humans, Abnormalities, Multiple, Female, Genetic Predisposition to Disease, Genetic Testing, Cardiac Surgical Procedures, Myxoma
Adult, Male, Mitogen-Activated Protein Kinase 1, Time Factors, Syndrome, Prognosis, Risk Assessment, Pedigree, Heart Neoplasms, Treatment Outcome, Nevus, Blue, Humans, Abnormalities, Multiple, Female, Genetic Predisposition to Disease, Genetic Testing, Cardiac Surgical Procedures, Myxoma
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