肥厚型心肌病合并二尖瓣心内膜炎：病例报告及文献综述
Mitral valve endocarditis in hypertrophic cardiomyopathy: case report and literature review.
作者信息
Morgan-Hughes G, Motwani J
机构信息
Cardiology Department, South West Cardiothoracic Unit, Plymouth NHS Trust, Plymouth PL6 8DH, UK.
出版信息
Heart. 2002 Jun;87(6):e8. doi: 10.1136/heart.87.6.e8.
Abstract
Mitral endocarditis complicating hypertrophic cardiomyopathy occurs predominantly on the left ventricular aspect of the anterior mitral valve leaflet in the presence of outflow tract obstruction. It is a rare condition and the estimated cumulative 10 year probability of developing endocarditis in patients with obstruction is < 5%. Combined mitral valve replacement and septal myectomy has been reported in this setting. A case of community acquired Staphylococcus aureus mitral valve endocarditis is reported in a previously asymptomatic young man with hypertrophic obstructive cardiomyopathy. The potential treatment options are discussed.
摘要
肥厚型心肌病并发的二尖瓣心内膜炎主要发生在存在流出道梗阻时二尖瓣前叶的左心室侧。这是一种罕见的病症，梗阻性患者发生心内膜炎的估计10年累积概率<5%。在这种情况下，已有二尖瓣置换术联合室间隔肌切除术的报道。本文报告一例社区获得性金黄色葡萄球菌二尖瓣心内膜炎病例，患者为一名先前无症状的年轻肥厚型梗阻性心肌病患者。文中讨论了可能的治疗选择。
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