A Combined Case of Hypertrophic Subaortic Stenosis, Rheumatic Myocarditis and Mitral Insufficiency

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.