Infective Endocarditis and Congenital Heart Disease

Child, John S.; Pegues, David A.; Perloff, Joseph K.

doi:10.1016/b978-1-4160-5894-6.50012-5

Cited by 4 publications

(9 citation statements)

References 152 publications

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“…Preventive administration of antimicrobial agents during delivery is recommended for patients with a risk for infective endocarditis. 73) 74) 75) There is no consensus at this point of time for the preventive administration of antimicrobial agents in women with CHD during delivery.…”

Section: Infective Endocarditis Prophylaxis During Pregnancy and Delimentioning

confidence: 99%

Adult Congenital Heart Disease with Pregnancy

Niwa

2018

Korean Circ J

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The number of women with congenital heart disease (CHD) at risk of pregnancy is growing because over 90% of them are grown-up into adulthood. The outcome of pregnancy and delivery is favorable in most of them provided that functional class and systemic ventricular function are good. Women with CHD such as pulmonary hypertension (Eisenmenger syndrome), severe left ventricular outflow stenosis, cyanotic CHD, aortopathy, Fontan procedure and systemic right ventricle (complete transposition of the great arteries [TGA] after atrial switch, congenitally corrected TGA) carry a high-risk. Most frequent complications during pregnancy and delivery are heart failure, arrhythmias, bleeding or thrombosis, and rarely maternal death. Complications of fetus are prematurity, low birth weight, abortion, and stillbirth. Risk stratification of pregnancy and delivery relates to functional status of the patient and is lesion specific. Medication during pregnancy and post-delivery (breast feeding) is a big concern. Especially prescribing medication with teratogenicity should be avoidable. Adequate care during pregnancy, delivery, and the postpartum period requires a multidisciplinary team approach with cardiologists, obstetricians, anesthesiologists, neonatologists, nurses and other related disciplines. Caring for a baby is an important issue due to temporarily pregnancy-induced cardiac dysfunction, and therefore familial support is mandatory especially during peripartum and after delivery. Timely pre-pregnancy counseling should be offered to all women with CHD to prevent avoidable pregnancy-related risks. Successful pregnancy is feasible for most women with CHD at relatively low risk when appropriate counseling and optimal care are provided.

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Section: Infective Endocarditis Prophylaxis During Pregnancy and Delimentioning

confidence: 99%

Adult Congenital Heart Disease with Pregnancy

Niwa

2018

Korean Circ J

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“…This provides an environment to which bacteria can adhere and eventually form infected vegetation. This endothelial lesion is usually located at the low-pressure end of an abnormality with a large gradient and most vegetations are found on the atrial side of the atrioventricular valves and downstream in the descending aorta in coarctation of the aorta [3,21]. An exception is valvular aortic stenosis.…”

Section: Risk Factorsmentioning

confidence: 99%

“…A possible explanation is that almost all aortic valvular stenosis is accompanied by some degree of aortic insufficiency [3]. And an aortic regurgitant jet or prolapsing aortic vegetation can affect the anterior mitral leaflet causing secondary vegetation [21].…”

Section: Risk Factorsmentioning

confidence: 99%

“…In patients with cyanotic CHD and who have undergone systemic-pulmonary artery shunt, diminution of a continuous murmur and declining systemic oxygen saturation may reflect graft infection with obstruction of blood flow [2][3][4]. The endocarditis of patent ductus arteriosus or coarctation of the aorta can cause aneurysm formation and may rupture [21].…”

Section: Clinical Findingsmentioning

confidence: 99%

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Infective Endocarditis in Congenital Heart Disease

Nakagawa¹

2023

Endocarditis - Diagnosis and Treatment

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Any congenital heart disease (CHD) with high-velocity jets of blood flow and/or artificial material is associated with the highest risk of infective endocarditis (IE). And IE can be a big issue not only for the patient with CHD before the operation but also after the palliative and the radical surgery. Jets stream of the intracardiac shunt (including the residual shunt after corrective operation) and artificial conduits and/or patches after palliated or corrective operation can be the origin of IE. Even though the incidence of IE in children is much lower than in adults, the risk of IE can be high for patients with CHD. Certain CHD are common underlying conditions of IE, including ventricular septal defects, patent ductus arteriosus, aortic valve abnormalities, endocardial cushion defects, and tetralogy of Fallot. Furthermore, patients with complex cyanotic CHD with or without conduit procedures, palliative shunt, patches, and prosthetic valves are becoming a large group at risk.

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“…35 Preventive administration of antimicrobial agents during delivery is recommended for patients with a high risk for infective endocarditis ( Table 3). [36][37][38] Although preventive administration of antimicrobial agents is not recommended for patients in whom the risk for infective endocarditis is not high because of its low incidence, the benefits of preventive antimicrobial treatment are not denied considering the risk-benefit balance. There are no currently available guidelines for the preventive administration of antimicrobial agents during delivery.…”

Section: Infective Endocarditismentioning

confidence: 99%

Guidelines for Indication and Management of Pregnancy and Delivery in Women With Heart Disease (JCS 2010) - Digest Version -

Group¹

2012

Circ J

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Infective Endocarditis and Congenital Heart Disease

Cited by 4 publications

References 152 publications

Adult Congenital Heart Disease with Pregnancy

Adult Congenital Heart Disease with Pregnancy

Infective Endocarditis in Congenital Heart Disease

Guidelines for Indication and Management of Pregnancy and Delivery in Women With Heart Disease (JCS 2010) - Digest Version -

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