Key result
A patient with hypertrophic subaortic stenosis, rheumatic myocarditis, and mitral insufficiency underwent surgery but expired due to post-operative conduction disturbance.
Case Report (n=1)
This case report describes a rare combination of hypertrophic subaortic stenosis, rheumatic myocarditis, and mitral insufficiency, suggesting a potential etiological link between rheumatic left ventricular hypertrophy and HSS.
Requires caution for post-operative conduction disturbances in complex valvular cases; leaves open etiological connection between rheumatic myocarditis and hypertrophic subaortic stenosis.
A combined case of HSS, rheumatic myocarditis and mitral insufficiency was reported. Various clinical examinations such as electrocardiogram, left vetriculogram, pullback tracking from left ventricle to the aorta and peripheral pressure curve revealed characteristic findings of HSS. Operation was performed under the diagnosis of HSS and mitral insufficiency with complication of post-operative conduction disturbance to expire the patient. Pathologically, left ventricular wall and ventricular septum were extremepr hypertrophied. Scarring foci and Aschoff Body formation were observed, and mitral valve showed fibrous thickening. Findings of rheumatic myocarditis and mitral insufficiency were obServed. Possibility that left ventricular hypertrophy due to the rheumatic myocardltis and mitral insuffl-ciency provided etiological significance of HSS in this case, was discussed.
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Takeshita et al. (1969) conducted a case report in Hypertrophic Subaortic Stenosis, Rheumatic Myocarditis and Mitral Insufficiency (n=1). Surgery was evaluated. A patient with hypertrophic subaortic stenosis, rheumatic myocarditis, and mitral insufficiency underwent surgery but expired due to post-operative conduction disturbance.
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