Chapoutot L, Graciet J, Metz D, Sal R, Chabert J P, Slimani S, Penalba C, Fontaine J F, Metz J, Bajolet A
Service de Cardiologie, Hôpital Corvisart, Charleville-Mézieres.
Ann Cardiol Angeiol (Paris). 1991 Jan;40(1):33-7.
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.
作者报告了一例通过心脏超声多普勒诊断出的二尖瓣心内膜炎病例，该病例发生在一名37岁女性身上，并发梗阻性心肌病（OCM）。尽管存在高度的主动脉下梗阻，且经多普勒分析显示明显存在严重的二尖瓣反流，但患者始终完全无症状，经适当抗生素治疗后预后良好。文献回顾显示，有11例在OCM背景下发生的心内膜炎病例，通过超声心动图记录。超声多普勒能够精确评估OCM这种严重且通常耐受性差的并发症。
