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Multiple Cardiac Myxomas in Carney Complex

Imaging findings

Echocardiography in a young patient shows a mass in the left ventricular outflow tract along with multiple additional masses, several of which are markedly bright on T2-weighted MRI, distributed throughout the left atrium and possibly the left ventricle; two prior masses resected years earlier were also confirmed as myxomas.

Key takeaways

Multiple recurrent cardiac myxomas across different chambers and over time should raise suspicion for Carney complex, a syndrome of multiple endocrine and cardiac myxomas, rather than a single sporadic myxoma.

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