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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 30, No 3, May/June 2019

e6

AFRICA

excision cases.

12

Also, radical excisional therapy and total cardiac

transplantation have been reported.

13

In our cases, the tumours

were excised with wide margins and the atrial septal defects were

closed with a bovine pericardial patch to exclude a third recurrence

of the tumour due to incomplete resection.

Conclusion

The reported cases of repeated recurrent, benign atrial myxomas

demonstrate the importance of regular echocardiography after

surgical resection in order to detect recurrence and avoid

complications. Also, genetic counselling should be offered to

affected individuals and their families.

References

1.

Stratakis CA, Kirschner LS, Carney JA. Clinical and molecular features

of the Carney complex: diagnostic criteria and recommendations for

patient evaluation.

J Clin Endocrinol Metab

2001;

86

: 4041–4046.

2.

Edwards A, Bermudez C, Piwonka G, Berr ML, Zamorano J, Larrain E,

et al

. Carney’s syndrome: complex myxomas. Report of four cases and

review of the literature.

Cardiovasc Surg

2002;

10

(3): 264–275.

3.

Carney JA, Gordon H, Carpenter PC, Shenoy BV, Go VL. The complex

of myxomas, spotty pigmentation and endocrine overactivity.

Medicine

(Baltimore) 1985;

64

(4): 270–283.

4.

Correa R, Salpea P, Stratakis CA. Carney complex: an update.

Eur J

Endocrinol

2015;

173

: M85–97.

5.

Edward A, Bermudez C, Piwonka G, Berr ML, Zamorano J, Larrain E,

et al

. Carney’s syndrome: complex myxomas. Report of four cases and

review of the literature.

Cardiovasc Surg

2002;

10

: 264–275.

6.

Hermans K, Jaarsma W, Plokker HW, Cramer MJ, Morshuis WJ.

Four cardiac myxomas diagnosed three times in one patient.

Eur J

Echocardiog

2003;

4

: 336–338.

7.

Gerbode F, Kerth WJ, Hill JD. Surgical management of tumors of the

heart.

Surgery

1967;

61

(1): 94–101.

8.

Keeling IM, Oberwalder P, Anelli Monti M, Schuchlenz H, Demel U,

Tilz GP,

et al

. Cardiac myxomas: 24 years of experience in 49 patients.

Eur J Cardiothorac Surg

2002;

22

(6): 971–977.

9.

Bertherat J. Carney complex (CNC).

Orphanet J Rare Dis

2006;

1

: 21.

10. Motwani M, Kidambi A, Herzog BA, Uddin A, Greenwood JP, Plein

S. MR imaging of cardiac tumors and masses: a review of methods and

clinical applications.

Radiology

2013;

268

: 26–43.

11. Sparrow PJ, Kurian JB, Jones TR, Sivananthan MU. MR imaging of

cardiac tumours.

Radiographics

2005;

25

: 1255–1276.

12. Reber D, Birnbaum DE. Recurrent cardiac myxoma: why it occurs.

A case report with literature review.

J Cardiovasc Surg

(Torino) 2001;

42

(3): 345–348.

13. Goldstein DJ, Oz MC, Michler RE. Radical excisional theraphy and

total cardiac transplantation for recurrent atrial myxoma.

Ann Thorac

Surg

1995;

60

(4): 1105–1107.