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Infective endocarditis complicating hypertrophic obstructive cardiomyopathy
Taoufik Louahabi1, Abdenasser Drighil, Rachida Habbal
1Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco. taoufikl@caramail.com
Insights
Infective endocarditis is a rare complication of hypertrophic cardiomyopathy. Mitral valve replacement successfully treated a patient with severe mitral regurgitation and obstruction, resolving symptoms.
Area of Science:
- Cardiology
- Infectious Diseases
- Cardiac Surgery
Background:
- Infective endocarditis is a rare but serious complication of hypertrophic cardiomyopathy.
- Incidence is higher in patients with left ventricular outflow obstruction.
Observation:
- A 43-year-old man presented with mitral infective endocarditis.
- This complication led to severe mitral regurgitation and hypertrophic obstructive cardiomyopathy.
Findings:
- The patient underwent successful mitral valve replacement surgery.
- Post-operative outcomes were positive, with symptom relief and resolution of left ventricular outflow obstruction.
Implications:
- This case highlights the importance of recognizing infective endocarditis in hypertrophic cardiomyopathy patients.
- Mitral valve replacement can be an effective treatment for severe complications.
Abstract:
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.
Related Concept Videos
Cardiomyopathy III: Hypertrophic Cardiomyopathy
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