Infective endocarditis complicating hypertrophic obstructive cardiomyopathy.
Infective endocarditis is a rare complication of hypertrophic cardiomyopathy. It's estimated incidence is 1.4 per 1000 person/year in all patients and it increases to 3.8 per 1000 person/year in patients with left ventricular outflow obstruction. The most common site of vegetation is the ventricular aspect of anterior mitral valve leaflet. We report a case of a 43-year-old man who was admitted for mitral infective endocarditis resulting in severe mitral regurgitation complicating a hypertrophic obstructive cardiomyopathy. The patient underwent mitral valve replacement. Post-operative outcome was good with relieve of symptom and resolution of left ventricular outflow obstruction. Literature data are reviewed.
Louahabi
Taoufik
T
Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco. taoufikl@caramail.com
Drighil
Abdenasser
A
Habbal
Rachida
R
Azzouzi
Leila
L
D000328:Adult; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications*; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000175:diagnosis / Q000382:microbiology*; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery; D013290:Streptococcal Infections / Q000150:complications*; D034363:Viridans Streptococci