Perforated aneurysms of left side valves during active infective endocarditis complicating hypertrophic obstructive cardiomyopathy. European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology. [Eur J Echocardiogr] Journal article

Title	Perforated aneurysms of left side valves during active infective endocarditis complicating hypertrophic obstructive cardiomyopathy.
Author(s)	de Castro S, Adorisio R, Pelliccia A, Papetti F, Fedele F, Pandian NG
Institution	Department of Cardiovascular and Respiratory Sciences, La Sapienza University, Rome, Italy. stefano.decastro@uniroma1.it
Source	Eur J Echocardiogr 2002 Jun; 3(2):100-2.
MeSH	Adult Aneurysm, Infected Aneurysm, Ruptured Aortic Valve Cardiomyopathy, Hypertrophic Echocardiography Endocarditis, Bacterial Fatal Outcome Female Heart Aneurysm Hemodynamic Processes Humans Male Middle Aged Mitral Valve
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.
Language	eng
Pub Type(s)	Case Reports Journal Article
PubMed ID	12114093

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