Key result
Fourth left thoracotomy excision of recurrent atrial myxoma achieves 36-month recurrence-free survival in Carney complex.
Case Report (n=1)
Repeated surgical excision of recurrent atrial myxomas via left thoracotomy in Carney complex patients can yield long-term recurrence-free survival despite postoperative challenges.
Repeated resection for recurrent atrial myxomas in Carney complex appears feasible; single case leaves optimal surveillance open.
We report a case of a 51-year-old male patient with a known history of Carney complex, who was operated on for the fourth time due to recurrent left atrial myxomas. Despite surgical challenge, the operation was uneventful. The patient had a difficult postoperative period and needed further treatment for complications. After a prolonged recovery, he is currently well and remains myxoma-free up until now (36 months postsurgery) with regular follow-up using cardiac CT and transthoracic echocardiogram.
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Azzam et al. (2014) conducted a case report in Carney complex with recurrent left atrial myxomas (n=1). Fourth time excision of recurrent atrial myxoma via left thoracotomy was evaluated on Myxoma recurrence. Fourth time excision of recurrent atrial myxoma via left thoracotomy in a patient with Carney complex resulted in myxoma-free survival at 36 months despite postoperative complications.
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