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KMID : 0368120130430030204
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Korean Circulation Journal
2013 Volume.43 No. 3 p.204 ~ p.206
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A Case of Myopathy, Encephalopathy, Lactic Acidosis and Stroke-Like Episodes (MEALS) Syndrome with Intracardiac Thrombus
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Joo Jung-Chul
Seol Myung-Do
Yoon Jin-Won
Lee Young-Soo
Kim Dong-Keun
Choi Yong-Hoon
Ahn Hyo-Seong
Cho Wook-Hyun
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Abstract
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Myopathy, encephalopathy, lactic acidosis and stroke-like episodes (MELAS) is a multisystem clinical syndrome manifested by mitochondrial myopathy, encephalopathy, lactic acidosis and recurrent stroke-like episodes. A 27-year-old female with MELAS syndrome presented with cerebral infarction. Echocardiography revealed a thrombus attached to the apex of the hypertrophied left ventricle, with decreased systolic function. The embolism of the intracardiac thrombus might have been the cause of stroke. There should be more consideration given to the increased possibility of intracardiac thrombus formation when a MELAS patient with cardiac involvement is encountered.
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KEYWORD
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MELAS syndrome, Heart, Thrombosis
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