Publications by authors named "A D Well"
Aspirin Nonresponsiveness in Congenital Heart Disease-Prevalence, Risk Factors, and Management.
World J Pediatr Congenit Heart Surg
December 2024
Background: Aspirin is frequently utilized for antiplatelet therapy in children with congenital heart disease (CHD). Patients who are unresponsive to aspirin, as measured by aspirin reaction units (ARU), are at higher risk for thrombotic events. It is undetermined if dose modification of aspirin results in adequate responsiveness in these patients.
View Article and Find Full Text PDFObjective: The population of adults with single-ventricle congenital heart disease (CHD) is growing. This study explores their lived experiences through an adult developmental psychology framework.
Methods: Individuals aged 18 and older with single-ventricle CHD participated in Experience Group sessions and 1:1 interviews.
Multidisciplinary Surgical Care for a Cervical Esophageal Duplication Cyst.
World J Pediatr Congenit Heart Surg
November 2024
We present a case of a three-month-old male who presented with a cervical esophageal duplication cyst requiring early surgical intervention. The patient presented with feeding difficulties, poor weight gain, and respiratory distress. Due to the position of the cervical esophageal duplication cyst and airway compression, this unique case required a multidisciplinary surgical approach involving both otolaryngology and cardiothoracic surgery.
View Article and Find Full Text PDFArticle Synopsis
- Advances in congenital heart disease (CHD) care have improved survival rates, leading to CHD patients needing treatment for conditions common in the general pediatric population, like appendicitis.
- A study analyzed data from over 319,000 pediatric discharges, revealing that CHD patients were significantly more likely to receive open appendectomy and had longer hospital stays and higher ICU admission rates compared to non-CHD patients.
- The findings highlight the unique challenges in managing CHD patients and emphasize the need for further research on treatment strategies and outcomes specific to this population.
Background: Iatrogenic complete atrioventricular block (ICAVB) has long been noted as a major complication after congenital heart surgery (CHS), and it contributes to complex postoperative care and potentially affects patients' outcomes.
Methods: This study is a retrospective review of the Pediatric Health Information System database from January 1, 2004 to September 30, 2023. All patients who underwent The Society of Thoracic Surgeons benchmark procedures were included.