Successful catheter ablation of a left posterolateral accessory bypass tract and periinterventional management in a patient with MELAS syndrome

MELAS syndrome is defined as a combination of mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes resulting from mutations in mitochondrial DNA. All medical interventions in these patients appear challenging due to a high risk of lactate acidosis or anesthesiological com...

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Bibliographic Details
Published in:Herzschrittmachertherapie & Elektrophysiologie 2022-09, Vol.33 (3), p.330-333
Main Authors: Goette, Andreas, Brandner, Sybille, Wojcik, Michal Jakub, Berger, Christian, Hammwöhner, Matthias
Format: Article
Language:English
Subjects:
Cardiac Imaging
Cardiac Surgery
Cardiology
Case Reports
Medicine
Medicine & Public Health
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Summary:MELAS syndrome is defined as a combination of mitochondrial myopathy, encephalopathy, lactic acidosis and stroke-like episodes resulting from mutations in mitochondrial DNA. All medical interventions in these patients appear challenging due to a high risk of lactate acidosis or anesthesiological complications. Of note, previous reports suggest that these patients have a higher incidence of Wolff-Parkinson-White (WPW) syndrome. Here, a case of successful catheter ablation of a posteroseptal bypass tract using analgosedation in a patient with MELAS syndrome combined with WPW syndrome is presented.
ISSN:0938-7412
1435-1544
DOI:10.1007/s00399-022-00881-9