Endocarditis in Congenital Heart Disease

Mulder, Barbara J.M.

doi:10.1161/circulationaha.113.005220

Cited by 23 publications

(11 citation statements)

References 12 publications

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“…Signs and symptoms of catheterization are obtained from day one until one week after the procedure. 3,[6][7][8][9] Risk factor for IE is patient with prosthetic cardiac valves, IV drug users, patient with mitral valve prolapse (MVP) or nonrheumatic heart disease (CHD, bicuspid aortic valves), rheumatic heart disease. The risk of IE increases in patient who undergo invasive procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Adults with CHD (GUCH), including groups with lowrisk factors. 3,11 Patient with a high risk of developing IE include patient who have prosthetic heart valves, a history of previous endocarditis, cyanotic CHD, surgically constructed systemic pulmonary shunts or conduit. Patient with prosthetic valves have 5-10 times the risk compared with native valves.…”

Section: Discussionmentioning

confidence: 99%

“…Patient with prosthetic valves have 5-10 times the risk compared with native valves. 3,11 IE related to post-closure is a rare case, but there are several case reports. There is one case report from Minnesota with one 66-yearold male with a large ASD that has been catheterized with a 32-mm ASD Amplazter occlude 30 months before the incident.…”

Section: Discussionmentioning

confidence: 99%

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Unexpected Infective Endocarditis in Corrected Congenital Heart Disease: A Case Report

Cool¹,

Serulina²,

Saboe³

2022

ijihs

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Objective: To describe patients with corrected Congenital Heart Disease (CHD) who experienced Infective Endocarditis (IE). Methods: Two cases of IE were observed in 2019. The first case involved a 36-year-old woman with previous percutaneous transcatheter perimembranous ventricular septal defect (VSD) closure four months before admission. Echocardiography showed vegetation at noncoronary cusps of the aortic valve. Patient received antibiotics for six weeks and underwent surgery for evacuation of vegetation and device, along with VSD closure with a cardiovascular patch (Gore-tex). The second case involved a 43-year-old woman with a history of surgical closure in secundum atrial septal defect (ASD) by pericardial patch two months before admission. Echocardiography showed vegetation at the tricuspid valve. Patient received antibiotics for four weeks and planned for surgery to evacuate vegetation. Results: IE is one of the major complications in CHD, whether uncorrected, treated, or corrected. The risk of IE increased with an invasive procedure. Post closure IE is rare. Poor dental hygiene and immunocompromised also increased patient's risk to be exposed to IE as shown in the first patient who had dental caries and the second patient who was on methylprednisolone for post-surgical pericardial effusion treatment. Conclusion: The risk of IE increases with invasive procedures in CHD patients. Although the incidence of IE is quite rare, its possibility should become of a serious concern among physicians.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Unexpected Infective Endocarditis in Corrected Congenital Heart Disease: A Case Report

Cool¹,

Serulina²,

Saboe³

2022

ijihs

View full text Add to dashboard Cite

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“…Compared to the general population, the frequency of infectious endocarditis is higher in patients with CHD. 52 However, CIED, vascular stents, stented grafts, conduits, and other prosthetic material may be challenging to remove in CHD patients. Imaging is thus critical, not only for initial diagnosis, but also to predict response to antibiotic therapy and facilitate conservative management of patients if appropriate.…”

Section: Cardiovascular Prosthesis Devices and Infectionsmentioning

confidence: 99%

Clinical applications of radionuclide imaging in the evaluation and management of patients with congenital heart disease

Partington

Valente

Landzberg

et al. 2016

Journal of Nuclear Cardiology

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Non-invasive testing of children with congenital heart disease (CHD) began in the 1950s with the introduction of radionuclide studies to assess shunt fractions, pulmonary blood flow, and ventricular contractile function. Echocardiography and cardiac magnetic resonance imaging have since replaced radionuclide imaging in many of these roles. Concurrently, percutaneous and surgical repairs of complex CHD evolved, creating new roles for radionuclide imaging. In this paper on applications of radionuclide imaging in CHD, we review the multiple mechanisms for myocardial ischemia in CHD. We critically compare optimal radionuclide imaging techniques to other imaging modalities for assessing ischemia in CHD. We present the current role of nuclear imaging for assessing viability and pulmonary blood flow. We highlight the value added by advances in dedicated cardiac SPECT scanners, novel reconstruction software, and cardiac PET in performing low-dose radionuclide imaging in CHD. Finally, we discuss the emerging clinical indications for radionuclide imaging in CHD including coronary flow reserve assessment and evaluation of cardiovascular prosthesis and device infections.

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“…The incidence of endocarditis in adults with CHD has been reported to be 11 per 100 000 person‐years compared with 1.5‐6 per 100 000 patient‐years in general population. However, CHD‐associated mortality has decreased to 10% because of improvement in the diagnosis of infective endocarditis, antibiotic therapy, cardiac surgery, and interventional procedure 1 . Herein, we aimed to describe a case of adult patient with a rare CHD who was complicated with infective endocarditis.…”

Section: Introductionmentioning

confidence: 99%