CARNEY SYNDROME: TO BE OR NOT TO BE

A 62-year old male was referred to cardiologist, since he was experiencing a form of a light fatigue and non-specific chest pain, unrelated to physical effort. His previous medical history showed only hypertension. Initial echocardiography revealed a normal left atria and ventricle with ejection fraction above 60%. Right ventricle was dilated, while in right atria a mobile homogeneous tumor formation was observed, with dimensions 62.6x35mm attached to the interatrial septum (Fig. 1). Also with a protrusion into the right ventricle during diastole and moderate tricuspid regurgitation. During the preoperative assessment for a surgical extraction of the tumor, a multi-slice computed tomography of chest and abdomen was conducted. Beside right atrial myxoma in the liver, two miliary changes visible in venous phase were noted, in the 7th and 8th segment with dimensions of 7 and 5mm, respectively (Figs 2A and and2B2B)