Sudden Death in a Patient with Carney's Complex

authors:

avatar James Rothschild 1 , * , avatar Melissa Kreso 2 , avatar Martin Slodzinski 1

Department of Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA
Department of Anesthesiology, University of Rochester Medical Center, Rochester, USA

how to cite: Rothschild J, Kreso M, Slodzinski M. Sudden Death in a Patient with Carney's Complex. Anesth Pain Med. 2013;2(4):e93348. doi: 10.5812/aapm.9111.

Abstract

Carney’s complex is a rare autosomal dominantly inherited multiple endocrine neoplasia syndrome that involves spotty skin pigmentations, recurrent cardiac myxomas, endocrine hyperactivity, pituitary adenomas, peripheral nerve tumors, testicular tumors, and ovarian lesions. We present a case of sudden cardiac death in a 40 year old female with a history of Carney’s complex with recurrent cardiac myxomas presenting for exploratory laparotomy and enblock adnexal resection of a slowly enlarging right sided ovarian mass. This case highlights the risk for sudden death in these patients as well as the preoperative assessment that should be undertaken by the anesthesiologist as it relates to Carney’s complex.

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