Research Topics
| D L S MoralesSummaryAffiliation: Baylor College of Medicine Country: USA Publications
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Detail Information
Publications
Repeat sternotomy in congenital heart surgery: no longer a risk factorDavid L S Morales
Michael E DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, Texas, USA
Ann Thorac Surg 86:897-902; discussion 897-902. 2008..Current literature on RS suggests a risk of approximately 5% to 10% for major morbidity. We sought to establish the true risk of RS in a contemporary pediatric series...- Extubation in the operating room after Fontan's procedure: effect on practice and outcomesDavid L S Morales
Michael E DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, Texas, USA
Ann Thorac Surg 86:576-81; discussion 581-2. 2008..In October 2002, this strategy was extended to extubating selective Fontan patients in the operating room (EOR). This retrospective study examines how EOR has affected outcomes and practice in our Fontan population... - Perimount bovine pericardial valve to restore pulmonary valve competence late after right ventricular outflow tract repairDavid L S Morales
Michael E DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, TX 77030, USA
Congenit Heart Dis 2:115-20. 2007..Texas Children's Hospital has recently used the Carpentier-Edwards Perimount RSR Pericardial Aortic Prosthesis (Edwards Lifesciences, Irvine, Calif, USA) for this indication and reports the initial experience... - Empowering a database with national long-term data about mortality: the use of national death registriesDavid L S Morales
Division of Congenital Heart Surgery, Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas 77030, USA
Cardiol Young 18:188-95. 2008.... 
Over two decades of pediatric heart transplantation: how has survival changed?David L S Morales
Michael E DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, Tex, USA
J Thorac Cardiovasc Surg 133:632-9. 2007..This study analyzes the 21-year experience with pediatric heart transplantation at Texas Children's Hospital to assess whether and how survival has changed over time...- Pediatric mechanical circulatory supportD L S Morales
Division of Congenital Heart Surgery, Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA
Int J Artif Organs 29:920-37. 2006..This review describes the different aspects of pediatric MCS including indications, the features of the various VADs, and their current application in children worldwide... - Heterotaxy patients with total anomalous pulmonary venous return: improving surgical resultsDavid L S Morales
Division of Congenital Heart Surgery, Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA
Ann Thorac Surg 82:1621-7; discussion 1627-8. 2006..The outcomes of heterotaxy patients at Texas Children's Hospital undergoing repair of total anomalous pulmonary venous return were examined and compared with those of nonheterotaxy patients... - Interrupted aortic arch repair: aortic arch advancement without a patch minimizes arch reinterventionsDavid L S Morales
Division of Congenital Heart Surgery, Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA
Ann Thorac Surg 82:1577-83; discussion 1583-4. 2006..The experience at Texas Children's Hospital with IAA repair using an aortic arch advancement technique without a patch was examined... - Encouraging results for the Contegra conduit in the problematic right ventricle-to-pulmonary artery connectionDavid L S Morales
Division of Congenital Heart Surgery, Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex 77030, USA
J Thorac Cardiovasc Surg 132:665-71. 2006..This report evaluates the Contegra conduit, with focus on certain subpopulations in which conduits are known to perform poorly (ie, patients with previous homograft conduits and infants)... - Use of ventricular assist devices in children across the United States: analysis of 7.5 million pediatric hospitalizationsDavid L S Morales
Michael E DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, Texas, USA
Ann Thorac Surg 90:1313-8; discussion 1318-9. 2010..The Healthcare Cost and Utilization Project (H-CUP) Kids' Inpatients Database (KID) was analyzed to characterize the current utilization of VADs in children nationwide... - Salvaging the failing Fontan: lateral tunnel versus extracardiac conduitDavid L S Morales
Division of Congenital Heart Surgery, Michael E DeBakey Department of Surgery, Texas Heart Institute, Baylor College of Medicine, Houston, Texas, USA
Ann Thorac Surg 80:1445-51; discussion 1451-2. 2005.... - Is resternotomy in cardiac surgery still a problem?David Morales
Division of Congenital Heart Surgery, Michael E DeBakey Department of Surgery, Baylor College of Medicine, Texas Children s Hospital, 6621 Fannin St, MC WT 19345H, Houston, TX 77030, USA
Interact Cardiovasc Thorac Surg 11:277-86. 2010..We reviewed the relevant published literature in order to survey the morbidity and resource utilization associated with RS in cardiac reoperation and to identify key issues relevant for future studies... - Impact of antibodies against human leukocyte antigens on long-term outcome in pediatric heart transplant patients: an analysis of the United Network for Organ Sharing databaseJoseph W Rossano
Department of Pediatrics, Lillie Frank Abercrombie Section of Pediatric Cardiology, Baylor College of Medicine, Texas Children s Hospital, Houston, Tex 77030, USA
J Thorac Cardiovasc Surg 140:694-9, 699.e1-2. 2010..This study sought to determine the association of elevated anti-human leukocyte antibodies with long-term survival in pediatric heart transplant patients... - Fenestration during Fontan palliation: now the exception instead of the ruleJorge D Salazar
Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, Tex, USA
J Thorac Cardiovasc Surg 140:129-36. 2010..Our practice has evolved away from routine fenestration with increased extracardiac conduit use. We reviewed our experience with Fontan palliation and retrospectively assessed outcomes with decreased fenestration... - Corkscrew trachea: a novel type of congenital tracheal stenosisRoosevelt Bryant
Department of Congenital Heart Surgery, Texas Children s Hospital, Houston, Texas 77309, USA
Ann Thorac Surg 87:1923-5. 2009..In this report, we describe the presentation and surgical management of a novel type of distal congenital tracheal stenosis referred to as "corkscrew" trachea... - Selective application of the pediatric Ross procedure minimizes autograft failureDavid L S Morales
Baylor College of Medicine, Michael E DeBakey Department of Surgery, Houston, TX, USA
Congenit Heart Dis 3:404-10. 2008..Therefore, Ross' operation in these patients has been avoided when possible at Texas Children's Hospital. Our objective was to report outcomes of Ross' operation when selectively employed in pediatric patients with aortic valve disease... - Initial clinical experience with the HeartMate II ventricular assist system in a pediatric institutionWilliam R Owens
Division of Congenital Heart Surgery, Texas Children s Hospital, Houston, TX 77030 2399, USA
Artif Organs 34:600-3. 2010..e., Jostra Rotoflow, Tandem Heart PTVA, Thoratec CentriMag, Berlin Heart EXCOR, etc.) that are now available to children... - Mechanical circulatory support for the pediatric patientKathleen E Carberry
Center for Clinical and Outcomes Research, Congenital Heart Surgery Service, Texas Children s Hospital, Houston, Texas 77030, USA
Crit Care Nurs Q 30:121-42. 2007.... - An alternative treatment strategy for pump thrombus in the DeBakey VAD Child: use of clopidogrel as a thrombolytic agentMatthew A Studer
Lillie Frank Abercrombie Section of Pediatric Cardiology, Department of Pediatrics Cardiology, Critical Care, Baylor College of Medicine and Texas Children s Hospital, 6621 Fannin, MC 19345 C, Houston 77030, USA
J Heart Lung Transplant 25:857-61. 2006..We report the use of clopidogrel as an alternative thrombolytic agent in the presence of pump thrombus in an adolescent patient with a DeBakey VAD Child heart pump... - Effect of body mass index on outcome in pediatric heart transplant patientsJoseph W Rossano
Department of Pediatrics, Baylor College of Medicine, Houston, Texas, USA
J Heart Lung Transplant 26:718-23. 2007..Obesity and cachexia are risk factors for adverse outcomes in adult transplant patients. However, little is known about the effects of body mass index (BMI) on outcomes in pediatric heart transplant patients... - Two decades of pediatric lung transplant in the United States: have we improved?Farhan Zafar
Michael E DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, Tex 77030, USA
J Thorac Cardiovasc Surg 141:828-32, 832.e1. 2011..To observe if this same phenomenon exists in pediatric lung transplants, the United Network for Organ Sharing database was analyzed to evaluate and characterize how pediatric lung transplant survival has changed in the past 2 decades... - Use of mechanical circulatory support in pediatric patients with acute cardiac graft rejectionDavid L S Morales
Michael E DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, Texas, USA
ASAIO J 53:701-5. 2007..Mechanical circulatory support can be applied in patients with acute cardiac graft rejection causing hemodynamic instability with acceptable weaning and discharge rates. Unfortunately, late survival for this cohort remains poor... - Current expectations for surgical repair of isolated ventricular septal defectsBrandi Braud Scully
Michael E DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, Texas 77030, USA
Ann Thorac Surg 89:544-9; discussion 550-1. 2010..Ventricular septal defect (VSD) is the most commonly recognized congenital heart defect. With the development of device closure for intracardiac defects, we sought to evaluate current expectations for surgical closure of isolated VSD... 
Two scimitar veins in an adult: repair through a right thoracotomy without cardiopulmonary bypassSimon Schwill
Department of Cardiovascular Surgery, Texas Heart Institute, St Luke s Episcopal Hospital, Houston, Texas 77030, USA
Tex Heart Inst J 37:358-60. 2010..We also comment on the importance of a patient's lung hypoplasia in the decision to repair the defect through a right thoracotomy...- Lessons learned from the first application of the DeBakey VAD Child: an intracorporeal ventricular assist device for childrenDavid L S Morales
Division of Congenital Heart Surgery, Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX 77030, USA
J Heart Lung Transplant 24:331-7. 2005..The risk-benefit of novel technologies in advanced heart failure and the lessons learned by our experience are important to consider in hopes that other centers (where this device is now available) may benefit... - Aortic atresia and type B interrupted aortic arch: diagnosis by physiologic cerebral monitoringDaniel J Dibardino
Division of Congenital Heart Surgery, Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA
Ann Thorac Surg 79:1758-60. 2005..We describe and discuss the anatomy, its translation into cerebral monitor findings, and how we modified our operative technique... - Tetralogy of Fallot and hypoplastic aortic arch: a novel perspectiveDavid L S Morales
Division of Congenital Heart Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex, USA
J Thorac Cardiovasc Surg 129:1448-50. 2005 - Hurricane Katrina: emergent interstate transport of an evacuee on biventricular assist device supportWilliam R Owens
Division of Congenital Heart Surgery, Texas Children's Hospital, Houston, Texas, USA
ASAIO J 52:598-600. 2006.... - Advanced thoracoscopic procedures are facilitated by computer-aided robotic technologyJeffrey A Morgan
Division of Cardiothoracic Surgery, College of Physicians and Surgeons, Columbia University, New York, NY, USA
Eur J Cardiothorac Surg 23:883-7; discussion 887. 2003..Computer (robotic) enhancement has been used to facilitate simple thoracoscopic procedures such as internal mammary artery (IMA) mobilization. This report describes the use of robotic technology in advanced thoracoscopic procedures... - A double-blind randomized trial: prophylactic vasopressin reduces hypotension after cardiopulmonary bypassDavid L S Morales
Department of Surgery, Columbia University, College of Physicians and Surgeons, New York, New York 10032, USA
Ann Thorac Surg 75:926-30. 2003..In patients receiving ACE inhibition, we investigated whether initiation of vasopressin before CPB would diminish post-CPB hypotension and catecholamine use by avoiding vasopressin deficiency... - Restoration of renal function in shock by perfusion of the renal artery with venous blood: a counterintuitive approachDavid L S Morales
Department of Surgery, Columbia University, College of Physicians and Surgeons, New York, NY, USA
Crit Care Med 30:1297-300. 2002..01). CONCLUSION: When flow is controlled, kidneys in hypoperfused ARF can extract sufficient oxygen from antegrade VB perfusion to restore renal function (UO and GFR)...