Structural & Congenital Heart Disease

Hospitalizations for drug use-associated infective endocarditis (DUA-IE) increased 12-fold in North Carolina in one decade, according to a new study, and nearly half of all IE valve surgeries from late 2016 through mid-2017 were performed in patients with DUA-IE.

The Tampa Bay Times published a lengthy investigative piece Nov. 28 about recent problems at Johns Hopkins All Children’s Hospital in St. Petersburg, Florida, where the heart surgery unit saw a tripling in its mortality rate from 2015 to 2017.

Though a significantly greater proportion of men are snorers, research presented Nov. 29 at the Radiological Society of North America’s annual meeting in Chicago suggests women who snore or experience obstructive sleep apnea (OSA) are at a greater risk for early cardiac dysfunction than their male counterparts.

Although nearly a quarter of patients in a U.S. registry study died in the year following transcatheter mitral valve repair (TMVR), those who survived showed significant gains in health status.

CT analysis prior to percutaneous pulmonary valve implantation (PPVI) in patients with congenital heart disease (CHD) could help physicians detect which individuals are at the greatest risk for coronary artery compression during the procedure, according to research published ahead of print in the European Journal of Radiology.

The risk of major stroke was higher in the 30 days following surgical aortic valve replacement (SAVR) compared to transfemoral TAVR, according to a propensity-matched analysis from the PARTNER trials published Nov. 12 in the Journal of the American College of Cardiology.

As TAVR continues to deliver success for patients and practices, questions about volume and access have emerged.

A new study published in Circulation emphasized the importance of prompt arterial switch operations (ASOs) for infants with transposition of the great arteries, as neonates more than 6 days old were 90 percent more likely to die in the perioperative period.

Under the United Nations’ Sustainable Development Goals, a blueprint for global well-being penned in 2015, officials aim to end all preventable deaths in newborns and children under 5 by 2030. And to Jackie Boucher, MS, BS, president of Children’s HealthLink in Minneapolis, that means better understanding congenital heart disease (CHD).

A miniature pacemaker developed for use in infants and those with limited vascular access has passed a proof-of-concept simulation and is entering its second phase of testing, researchers from Children’s National Health System in Washington, D.C., have reported.

Antibiotic prescriptions to prevent infective endocarditis (IE) decreased following a 2007 guideline update from the American Heart Association—even among high-risk patients for whom antibiotics were still recommended. Those patients showed an estimated 177 percent increase in IE incidence over the next several years, according to a new study.

Automated cardiac valve tracking halved the analysis time and variability in blood-flow quantification with four-dimensional (4D) flow MRI, researchers reported in Radiology. The algorithm may help clinicians more efficiently assess the severity of congenital and valvular heart disease, they said.