Perforated aneurysms of left side valves during active infective endocarditis complicating hypertrophic obstructive cardiomyopathy

S. De Castro, R. Adorisio, A. Pelliccia, F. Papetti, F. Fedele, N. G. Pandian

Research output: Contribution to journalArticle

Abstract

The most frequent site of vegetative lesion in patients with hypertrophic cardiomyopathy is anterior mitral leaflet, due to chronic endocardial trauma arising from systolic anterior motion. We describe three cases of serious infective endocarditis complicated lesions (vegetation, aneurysm and perforation) on aortic and mitral valves, in patients with obstructive hypertrophic cardiomyopathy. In particular, we observed how severe valvular damage and dysfunction, combined with particular hemodynamic conditions, are followed by adverse clinical outcome. We performed transthoracic echocardiogram and transoesophageal echocardiography studies to define morphologic and hemodynamic features of infection, deciding the proper therapy and we planned the echocardiographic follow-up.

Original languageEnglish
Pages (from-to)100-102
Number of pages3
JournalEuropean Journal of Echocardiography
Volume3
Issue number2
DOIs
Publication statusPublished - 2002

Keywords

  • Echocardiography
  • Hypertrophic cardiomyopathy
  • Infective endocarditis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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