Cardiac tamponade: a new complication in a patient with mitochondrial myopathy, encephalopathy, lactic acidosis, and strokelike episodes.
We report the first case of cardiac tamponade in a 14-year-old female patient with an underlying illness of mitochondrial myopathy, encephalopathy, lactic acidosis, and stroke-like episodes (MELAS). The patient underwent a subxiphoid pericardiocentesis and pericardiotomy smoothly and was discharged with no sequelae. The coexistence of massive pericardial effusion and MELAS has never been mentioned in any literature. This case report attempts to exemplify the possibility of this connection.
Wang
Warren
W
Department of Emergency Medicine, Chang Gung Memorial Hospital, Linkou 333, Taiwan, ROC.
Seak
Chen-June
CJ
Liao
Shu-Chen
SC
Chiu
Te-Fa
TF
Chen
Jih-Chang
JC
D000293:Adolescent; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D017241:MELAS Syndrome / Q000150:complications*