Carneyâs Syndrome
Report:
Sinus rhythm 84/min
Right axis deviation +100o
Left atrial abnormality
RSRâ in V2
Late transition
Comment:
The trace suggests mitral stenosis. She had it, but not an ordinary one: it was caused by a large atrial myxoma. In her case, part of Carneyâs syndrome54. She had lentiginous spots on her skin, including lips: a good short case for Fellowship exams. Delightfully freckled, I said on a teaching round (in those pre-PC days), but nobody picked up the clue.
Postoperatively, her ECG normalised, except for the borderline â for her age - RAD (Fig 74a).
74a. 75. 29 year old man with heart murmur for many years and recent episode of pulmonary Ådema
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