title: A Case of Myopathy, Encephalopathy, Lactic Acidosis and Stroke-Like Episodes (MELAS) Syndrome with Intracardiac Thrombus [corrected].
abstract: 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.
authors.affiliation: Sahmyook Medical Center Seoul Hospital, Seoul, Korea.
authors.forename: Jung-Chul
authors.initials: JC
authors.lastname: Joo
authors.forename: Myung Do
authors.initials: MD
authors.lastname: Seol
authors.forename: Jin Won
authors.initials: JW
authors.lastname: Yoon
authors.forename: Young Soo
authors.initials: YS
authors.lastname: Lee
authors.forename: Dong-Keun
authors.initials: DK
authors.lastname: Kim
authors.forename: Yong Hoon
authors.initials: YH
authors.lastname: Choi
authors.forename: Hyo Seong
authors.initials: HS
authors.lastname: Ahn
authors.forename: Wook Hyun
authors.initials: WH
authors.lastname: Cho
keywords: Heart; MELAS syndrome; Thrombosis