Neonatal screening for life threatening congenital heart disease

BMJ ◽  
2009 ◽  
Vol 338 (jan08 2) ◽  
pp. a2663-a2663 ◽  
Author(s):  
K. J Barrington
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Neonatal Screening ◽  
Congenital Heart ◽  
Life Threatening

scholarly journals Coxiella Endocarditis as the Cause of Recurrent Fever and Brain Abscess in a Patient with Complex Congenital Heart Disease: A Case Report and Literature Review

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Ioannis A. Ziogas ◽  
Alexandros P. Evangeliou ◽  
Olga Tsachouridou ◽  
Alexandra Arvanitaki ◽  
Afroditi Tsona ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Case Report ◽  
Congenital Heart ◽  
Diagnostic Delay ◽  
Unknown Origin ◽  
Recurrent Fever ◽  
Complex Congenital Heart Disease ◽  
Empiric Antibiotic ◽  
Life Threatening

Introduction. Blood culture-negative infective endocarditis (BCNIE) can present subtly and is associated with a diagnostic delay leading to increased morbidity and mortality. Case Report. We present the case of an 18-year-old male with a history of complex congenital heart disease and 3-year intermittent episodes of fever of unknown origin, who was referred to our hospital for upper and lower extremity focal seizures. Laboratory blood tests were normal, blood cultures were negative, and brain imaging revealed an abscess. Cardiology consultation was requested, and transthoracic echocardiography revealed an intracardiac vegetation. Empiric antibiotic treatment with sultamicillin, gentamycin, and meropenem was initiated. Serology testing was positive for Coxiella burnetii, and the diagnosis of BCNIE was established. The antibiotic course was changed to oral doxycycline for 36 months and led to resolution of IE, with no vegetation detected on TTE after 15 months. Conclusion. BCNIE is a life-threatening disease entity that can lead to severe complications, such as valve regurgitation, emboli, and death. Patients with congenital heart disease are particularly vulnerable to IE. Timely diagnosis and antibiotic management are of paramount importance in order to avoid the potentially fatal sequelae.

Reconstruction of a Previously Repaired Aortic Valve Destroyed by Infective Endocarditis: Case Report

2016 ◽  
Vol 8 (3) ◽  
pp. 408-410
Author(s):  
Tomas Chalela ◽  
Viktor Hraska
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Case Report ◽  
Infective Endocarditis ◽  
Aortic Valve ◽  
Congenital Heart ◽  
Congenital Aortic Stenosis ◽  
Life Threatening ◽  
History Of ◽  
Uncommon Condition

Infective endocarditis (IE) is an uncommon condition among patients with congenital heart disease, however it can be life threatening. The usual management includes replacement of the affected valve, especially in patients with aortic valve compromise, and is even more common in previously repaired valves. In this case report, we describe the successful reconstruction of an aortic root destroyed by IE, in a patient with history of ballooning of a congenital aortic stenosis.

scholarly journals Incidence and Management of Life-Threatening Adverse Events During Cardiac Catheterization for Congenital Heart Disease

2013 ◽  
Vol 35 (1) ◽  
pp. 140-148 ◽  
Author(s):  
C. Huie Lin ◽  
Sanjeet Hegde ◽  
Audrey C. Marshall ◽  
Diego Porras ◽  
Kimberlee Gauvreau ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Adverse Events ◽  
Cardiac Catheterization ◽  
Congenital Heart ◽  
Life Threatening

P20 Impact on mode of delivery and early neonatal outcomes following fetal diagnosis of life-threatening congenital heart disease in the north east of england

Heart ◽  
2016 ◽  
Vol 102 (Suppl 1) ◽  
pp. A11.2-A11
Author(s):  
Albert Lim ◽  
Paul Moran ◽  
Maria Kontou ◽  
Wan Norshuhada Wan Montil ◽  
Majd Abu-Harb ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Mode Of Delivery ◽  
Neonatal Outcomes ◽  
Fetal Diagnosis ◽  
North East ◽  
The North ◽  
Life Threatening

Life-threatening airway bleeding after palliation of single ventricle congenital heart disease

Heart ◽  
2017 ◽  
Vol 104 (3) ◽  
pp. 254-260 ◽  
Author(s):  
Konstantin Averin ◽  
Jonathan W Byrnes ◽  
Dan T Benscoter ◽  
Wendy Whiteside ◽  
Holly DeSena ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Single Ventricle ◽  
Case Series ◽  
Hospital Length Of Stay ◽  
Interventional Bronchoscopy ◽  
Cavopulmonary Anastomosis ◽  
Life Threatening

ObjectiveTo describe acute and mid-term outcomes following presentation with, and treatment for, life-threatening airway bleeding (hemoptysis) in palliated single ventricle congenital heart disease (SV-CHD).MethodsCase series of patients with SV-CHD who presented to a large congenital heart centre with hemoptysis between 2004 and 2015.ResultsTwenty-one episodes of hemoptysis occurred in 12 patients (58% female, median 10.5 (IQR 7.2, 16.4) years). First hemoptysis episode occurred after Fontan completion (n=8), after superior cavopulmonary anastomosis (SCPA, n=3) and in one shunt-dependent patient. Bronchoscopy was performed in conjunction with catheterisation in 14/21 (67%) initial catheterisations. A specific anatomic source of airway bleeding was identified in 95% of bronchoscopy cases and was uniformly distributed in all lobar segments. Transcatheter intervention with systemic-to-pulmonary collateral artery (SPC) occlusion was performed in 28/30 catheterisations. Apart from increased airway bleeding during interventional bronchoscopy (37%), there were no procedural complications. Median hospital length of stay was 9.0 (3.5, 14.5) days with patients undergoing 1.0 (1.0,2.0) catheterisations per episode of hemoptysis. Two SCPA patients did not survive to discharge. During a median follow-up of 32.5 (12.5, 87.5) months, freedom from mortality was 75%, with all three deaths occurring in the SCPA group by 4 months posthemoptysis. Recurrent hemoptysis occurred in 60% of patients.ConclusionsDespite the potentially life-threatening nature of hemoptysis in patients with SV-CHD, a policy of bronchoscopic evaluation and transcatheter treatment is safe and may contribute to low mortality at mid-term follow-up in Fontan patients. Hemoptysis in SCPA patients may portend a poor prognosis. Recurrent hemoptysis is common.

Late presentation of the Fontan circulation

2020 ◽  
pp. 29-40
Author(s):  
Hannah Bellsham-Revell ◽  
Aaron Bell ◽  
Catherine Head
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Medical Therapy ◽  
Congenital Heart ◽  
Late Presentation ◽  
Fontan Circulation ◽  
Complex Congenital Heart Disease ◽  
Fontan Patient ◽  
Protein Losing Enteropathy ◽  
Life Threatening

A 16-year-old boy presented to the congenital heart disease department with oedema and chronic cough productive of casts. He had previously undergone Fontan completion for complex congenital heart disease overseas. Examination and basic investigations showed relapsed protein-losing enteropathy and plastic bronchitis, two significant complications of the Fontan circulation. He was extensively investigated, and his medical therapy optimized. Although initially referred for heart transplant assessment, he has been taken off the transplant list after good response to medical therapy alone. This case shows the complex multidisciplinary management of the adolescent Fontan patient with life-threatening complications.

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