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Journal of Cardiovascular Medicine and Surgery

Volume  10, Issue 1-2, January – June 2024, Pages 45-50
 

Case Report

Cardioembolic Stroke as an Initial Presentation of Carney's Complex: A Case Report

Syed Shamayal Rabbani1, Aamir Mohammad2, Hamid Ashraf3, Ahmad Alam4, Mohd Azam Haseen5

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DOI: : http://dx.doi.org/10.21088/jcms.2454.7123.10(1-2)24.8

Abstract

Carney Complex (CNC) is a hereditary lentiginosis syndrome caused by mutations in  the PRKAR1A gene, leading to abnormalities in the cyclic AMP-dependent protein kinase (PKA) signalling pathway. This condition predisposes individuals to pigmented lesions,
myxomas, and endocrine tumors. We present a case of a 28-year-old male diagnosed with CNC after experiencing a cardioembolic stroke due to a left ventricular myxoma. The diagnosis was suspected following a clinical examination that revealed small,
well-demarcated, light brown skin lesions around the eyes and over the back. These characteristic skin findings, combined with the presence of cardiac myxomas, raised the suspicion of CNC. Although CNC typically presents with endocrine abnormalities, this
case exemplifies a less common presentation. Our report emphasizes the importance of recognizing the diverse phenotypic spectrum of CNC and the need for awareness of this rare, often under diagnosed syndrome.
 


Keywords : Carney's Complex; CNC typically; Cardioembolic stroke; Ventricular myxoma; Cneoplasia syndrome.
Corresponding Author : Aamir Mohammad