Structural & Congenital Heart Disease

The psychosocial status of adults living with congenital heart disease (CHD) has improved over the past couple of decades, researchers report of a cross-sectional study that analyzed CHD patients’ quality of life between 1995 and 2015.

Three administrators at Johns Hopkins All Children’s Hospital, including the CEO, have resigned following a report from the Tampa Bay Times that found mortality rates tripled in the pediatric heart surgery unit from 2015 to 2017—even as the center began to turn away more challenging cases.

Hospitals with favorable outcomes for surgical aortic valve replacement (SAVR) procedures subsequently see better transcatheter aortic valve replacement (TAVR) outcomes when they launch TAVR programs, researchers reported in JAMA Cardiology Dec. 5, suggesting the quality of an institution’s surgical team could be an indicator of how they’ll fare after they initiate TAVR.

High-risk transcatheter aortic valve replacement (TAVR) patients see the same rates of functional recovery and survival as surgical aortic valve replacement (SAVR) patients half a decade after their procedures, according to data published in the Journal of the American College of Cardiology.

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.