Surgical intervention should be considered even in the acute phase when signs of heart failure appear in patients with hypertrophic cardiomyopathy complicated by infective endocarditis.
Fatal outcomes in HCM with IE highlight poor prognosis; leaves open whether acute-phase surgery improves survival in this rare setting.
Two male patients with hypertrophic obstructive cardiomyopathy succumbed to infective endocarditis. Although a mitral valve replacement during the acute phase transiently relieved the severe congestive heart failure resulting from rupture of the chorda tendinae, the patient died 10 days after the operation. No surgical intervention was attempted in the second case, a 57-year-old male.Our experiences, although limited, suggest that surgical intervention should be cosidered even in the acute phase when signs of heart failure appear in patients with hypertrophic cardiomyopathy complicated with infective endocarditis.
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Yamauchi et al. (1986) studied this question.
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