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[Diagnosis and evaluation of mitral endocarditis complicating obstructive cardiomyopathy using cardiac echo-Doppler]. 1991
L Chapoutot, and
J Graciet, and
D Metz, and
R Sal, and
J P Chabert, and
S Slimani, and
C Penalba, and
J F Fontaine, and
J Metz, and
A Bajolet
Service de Cardiologie, Hôpital Corvisart, Charleville-Mézieres.
The authors report a case of mitral endocarditis diagnosed by cardiac echo-Doppler and complicating an obstructive cardiomyopathy (OCM) in a 37-year-old woman. Despite the high degree of sub-aortic obstruction and the existence of an apparently severe mitral leak by Doppler analysis, the patient remained totally asymptomatic and the outcome was favourable with appropriate antibiotics. A review of the literature revealed 11 cases of endocarditis in a context of OCM, documented by echocardiography. Echo-Doppler enables precise evaluation of this grave and often poorly tolerated complication of OCM.
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