Advanced Atherosclerosis with Leriche Syndrome, in a Patient with Carney Complex

Ionela-Simona VISOIU, Maria Cristina CONSTANTINESCU, Natalia PATRASCU, Claudiu Ionut STOICESCU, Bogdan DOROBAT, Radu BREZEANU, Cristina ANTON, Dragos VINEREANU and Mircea CINTEZA

ABSTRACT

Carney complex (CNC) is a rare autosomal dominant syndrome. Spotty skin pigmentation is the major clinical manifestation of CNC, followed by cardiac myxomas, benign tumors that usually present with features from the classical triad of obstructive cardiac, embolic and non-specific constitutional symptoms (NCS). NCS are caused by the overproduction of interleukin-6 (IL-6), a pro-inflammatory cytokine which mediates the induction of intercellular adhesion molecule 1 (ICAM-1) and promotes endothelial dysfunction and atherosclerosis. Thus, myxomas may be directly linked to an increased risk of atherosclerotic events.
We report here a case of a 74-year-old woman with left atrial myxoma, skin pigmentary abnormalities, thyroid disorder and extensive atherosclerosis, with non-embolic occlusion of infrarenal abdominal aorta.
Keywords: Carney complex, critical limb ischemia, Leriche syndrome, cardiac myxoma, atherosclerosis, autoimmune thyroid disorder

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