Andersons pediatric cardiology 1135

disease:initialreportfromtheNational
CardiovascularDataRegistry.JAmColl
Cardiol.2014;64(23):2439–2451.
TheImprovingPediatricandAdultCongenital
Treatment(IMPACT)registryisalarge
multicenterregistryformedin2010tocollect
dataforuseinperformanceandqualitymetrics.
TheIMPACTregistryisfocusedonpatients
undergoingcongenitalcardiaccatheterizations.
Inthepresentstudy,proceduraloutcomesand
safetyofseveralcommoninterventions,
includingballoonpulmonaryvalvuloplasty,are
reported..
HolzerRJ,GauvreauK,KreutzerJ,etal.Safety
andefficacyofballoonpulmonary
valvuloplasty:amulticenterexperience.
CatheterCardiovascInterv.2012;80(4):663–
672.
UsingtheCongenitalCardiacCatheterization
ProjectonOutcomes(C3PO)registry,thisstudy
demonstratesthatproceduralsuccesswas
commonwithballoonpulmonicvalvuloplasty
andthatmoresevereadverseeventswererare.
TheuseofmulticenterregistriessuchasC3PO
andIMPACTallowsinvestigatorstomake
broaderassessmentsonoutcomesandquality
fordifferenttypesofproceduresthatare


performedlessfrequentlyatindividualcenters..
HayesCJ,GersonyWM,DriscollDJ,etal.Second

naturalhistorystudyofcongenitalheartdefects.
Resultsoftreatmentofpatientswithpulmonary
valvarstenosis.Circulation.1993;87(2
suppl):I28–I37.
Thisclassicstudyprovidesanupdateonpatients
whowereoriginallyenrolledinthefirstnatural
historystudyofcongenitalheartdefects;it
lookedatmultipletypesofcongenitalheart
disease,includingpulmonarystenosis.The
originalsubjectswereadmittedtotheFirst
NaturalHistoryStudyofCongenitalHeart
Defectsfrom1958to1969,withthesecond
updatedstudybeingpublishedin1993..
DevanagondiR,PeckD,SagiJ,etal.Long-term
outcomesofballoonvalvuloplastyforisolated
pulmonaryvalvestenosis.PediatrCardiol.
2017;38(2):247–254.
Thisisaretrospectivestudyofpatientsundergoing
balloonpulmonicvalvuloplastyforisolated
pulmonarystenosistoevaluatethelong-term
incidenceofpulmonaryregurgitationby
echocardiographyandneedforreintervention.
Althoughtheauthorsreportthatthisisthe
largeststudytodate(n=211),lackofinclusion
ofadvancedimagingmodalitiessuchascardiac


magneticresonanceimagingaresignificant
limitations,highlightingtheneedtoaddressthis
inthefuturesoastodeterminethelong-term

effectofpulmonaryregurgitation..
WilsonW,TaubertKA,GewitzM,etal.
Preventionofinfectiveendocarditis:guidelines
fromtheAmericanHeartAssociation:a
guidelinefromtheAmericanHeartAssociation
RheumaticFever,Endocarditis,andKawasaki
DiseaseCommittee,CouncilonCardiovascular
DiseaseintheYoung,andtheCouncilon
ClinicalCardiology,CouncilonCardiovascular
SurgeryandAnesthesia,andtheQualityofCare
andOutcomesResearchInterdisciplinary
WorkingGroup.Circulation.
2007;116(15):1736–1754.
ThesearethemostrecentAmericanHeart
Associationguidelinesregardingpreventionof
endocarditis;theywerepublishedin2007and
provideasignificantupdateonthe
recommendationspublished10yearsprior.
Importantly,theyindicatethatendocarditis
prophylaxisisnolongernecessaryinmany
conditionsforwhichitwaspreviously
recommended..