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European Journal of Echocardiography 2006 7(6):468-470; doi:10.1016/j.euje.2005.09.001
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Copyright © 2005, The European Society of Cardiology

Infective endocarditis complicating hypertrophic obstructive cardiomyopathy

Taoufik Louahabi*, Abdenasser Drighil, Rachida Habbal and Leila Azzouzi

Department of Cardiology, Ibn Rochd University Hospital, Casablanca, Morocco

Received 11 July 2005; received in revised form 29 August 2005; accepted after revision 11 September 2005.

* Corresponding author. 6, rue Abou Alaa Zahr, Apartment 18, Quartier des Hopitaux, Casablanca, Morocco. Tel.: +212 64 99 04 08; fax: +212 22 86 33 20. taoufikl{at}caramail.com


  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.

Keywords: Endocarditis; Hypertrophic cardiomyopathy; Echocardiography


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