David L S Morales

Summary

Affiliation: Texas Medical Center
Country: USA

Publications

  1. ncbi Lessons learned from the first application of the DeBakey VAD Child: an intracorporeal ventricular assist device for children
    David 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
  2. ncbi Tetralogy of Fallot and hypoplastic aortic arch: a novel perspective
    David 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
  3. doi 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
  4. doi Cardiopulmonary resuscitation in hospitalized children with cardiovascular disease: estimated prevalence and outcomes from the kids' inpatient database
    Adam W Lowry
    Department of Pediatrics, Lillie Frank Abercrombie Section of Pediatric Cardiology, Baylor College of Medicine and Texas Children s Hospital, Houston, TX, USA
    Pediatr Crit Care Med 14:248-55. 2013
  5. doi Does donor arterial partial pressure of oxygen affect outcomes after lung transplantation? A review of more than 12,000 lung transplants
    Farhan Zafar
    Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA
    J Thorac Cardiovasc Surg 143:919-25. 2012
  6. doi Fenestration during Fontan palliation: now the exception instead of the rule
    Jorge D Salazar
    Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, Tex, USA
    J Thorac Cardiovasc Surg 140:129-36. 2010
  7. doi Selective application of the pediatric Ross procedure minimizes autograft failure
    David L S Morales
    Baylor College of Medicine, Michael E DeBakey Department of Surgery, Houston, TX, USA
    Congenit Heart Dis 3:404-10. 2008
  8. doi 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 database
    Joseph 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
  9. ncbi Use of mechanical circulatory support in pediatric patients with acute cardiac graft rejection
    David 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
  10. doi Infectious complications and outcomes in children supported with left ventricular assist devices
    Antonio G Cabrera
    Department of Pediatrics, Section of Pediatric Cardiology, Baylor College of Medicine and Texas Children s Hospital, Houston, Texas 77030, USA
    J Heart Lung Transplant 32:518-24. 2013

Detail Information

Publications48

  1. ncbi Lessons learned from the first application of the DeBakey VAD Child: an intracorporeal ventricular assist device for children
    David 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...
  2. ncbi Tetralogy of Fallot and hypoplastic aortic arch: a novel perspective
    David 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
  3. doi 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...
  4. doi Cardiopulmonary resuscitation in hospitalized children with cardiovascular disease: estimated prevalence and outcomes from the kids' inpatient database
    Adam W Lowry
    Department of Pediatrics, Lillie Frank Abercrombie Section of Pediatric Cardiology, Baylor College of Medicine and Texas Children s Hospital, Houston, TX, USA
    Pediatr Crit Care Med 14:248-55. 2013
    ..We sought to characterize national estimates of cardiopulmonary resuscitation and death after cardiopulmonary resuscitation for hospitalized children with cardiovascular disease...
  5. doi Does donor arterial partial pressure of oxygen affect outcomes after lung transplantation? A review of more than 12,000 lung transplants
    Farhan Zafar
    Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA
    J Thorac Cardiovasc Surg 143:919-25. 2012
    ..Limited literature exists to support such a practice. We analyzed all LTxs performed in the United States over a 9-year period to assess the effect of donor PaO(2) on graft survival...
  6. doi Fenestration during Fontan palliation: now the exception instead of the rule
    Jorge 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...
  7. doi Selective application of the pediatric Ross procedure minimizes autograft failure
    David 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...
  8. doi 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 database
    Joseph 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...
  9. ncbi Use of mechanical circulatory support in pediatric patients with acute cardiac graft rejection
    David 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...
  10. doi Infectious complications and outcomes in children supported with left ventricular assist devices
    Antonio G Cabrera
    Department of Pediatrics, Section of Pediatric Cardiology, Baylor College of Medicine and Texas Children s Hospital, Houston, Texas 77030, USA
    J Heart Lung Transplant 32:518-24. 2013
    ..The aim of this study was to determine the incidence of infection among pediatric VAD recipients and to characterize the microbiology, associated risk factors, and clinical outcome...
  11. doi Effectiveness of mechanical circulatory support in children with acute fulminant and persistent myocarditis
    Ivan Wilmot
    Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine and Texas Children s Hospital, Houston, Texas, USA
    J Card Fail 17:487-94. 2011
    ..We evaluated the effectiveness of MCS in children with myocarditis and identified risk factors associated with adverse outcomes...
  12. ncbi Heterotaxy patients with total anomalous pulmonary venous return: improving surgical results
    David 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...
  13. doi Right ventricular infundibulum sparing (RVIS) tetralogy of fallot repair: a review of over 300 patients
    David L S Morales
    Michael E DeBakey Department of Surgery, Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, TX, USA
    Ann Surg 250:611-7. 2009
    ..Over the past 13 years, we have uniformly applied this RV infundibulum sparing (RVIS) strategy...
  14. doi Use of ventricular assist devices in children across the United States: analysis of 7.5 million pediatric hospitalizations
    David 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...
  15. ncbi Interrupted aortic arch repair: aortic arch advancement without a patch minimizes arch reinterventions
    David 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...
  16. doi Is lung transplantation survival better in infants? Analysis of over 80 infants
    Muhammad S Khan
    Michael E DeBakey Department of Surgery, Baylor College of Medicine Division of Congenital Heart Surgery, Texas Children s Hospital, Houston, TX77030, USA
    J Heart Lung Transplant 32:44-9. 2013
    ..Less than 4 infant (defined as ≤ 12 months of age) LTxs per year have been performed over the past 20 years, mostly in the USA. However, infant LTx outcomes have not been well documented in a multi-institutional longitudinal fashion...
  17. doi Current expectations for surgical repair of isolated ventricular septal defects
    Brandi 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...
  18. doi Outcomes of hospitalization in adults in the United States with atrial septal defect, ventricular septal defect, and atrioventricular septal defect
    Fred H Rodriguez
    Department of Pediatrics, Division of Cardiology and Congenital Heart Surgery and Physical Medicine and Rehabilitation, Baylor College of Medicine, Houston, Texas, USA
    Am J Cardiol 108:290-3. 2011
    ..Cardiac and noncardiac co-morbidities are commonly encountered. Many noncardiac conditions, including trisomy 21 and the youngest and oldest groups, are associated with an increased risk of death...
  19. doi Perimount bovine pericardial valve to restore pulmonary valve competence late after right ventricular outflow tract repair
    David 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...
  20. ncbi Pediatric ventricular assist device use as a bridge to transplantation does not affect long-term quality of life
    David S Ezon
    Section of Pediatric Cardiology, Texas Children s Hospital, Baylor College of Medicine, Houston, Tex Electronic address
    J Thorac Cardiovasc Surg 147:1334-43. 2014
    ..Currently, 20% of children undergoing heart transplantation have required a VAD as a BTT. Few data have been published assessing how children requiring a VAD as a BTT will fair in terms of their long-term QOL...
  21. doi Outcomes of heart failure-related hospitalization in adults with congenital heart disease in the United States
    Fred H Rodriguez
    Baylor College of Medicine, Department of Pediatrics, Division of Cardiology and Congenital Heart Surgery, Houston, Tex, USA Sibley Heart Center Cardiology and Emory University School of Medicine, Atlanta, GA, USA
    Congenit Heart Dis 8:513-9. 2013
    ..The purpose of this study was to test the hypotheses that HF admissions are common in ACHD and associated with significant morbidity and mortality...
  22. doi Lung retransplantation in children: appropriate when selectively applied
    Brandi B Scully
    Congenital Heart Surgery, Texas Children s Hospital, Houston, Texas 77030, USA
    Ann Thorac Surg 91:574-9. 2011
    ..Therefore, an analysis of the UNOS (United Network of Organ Sharing) database to evaluate the effectiveness of pediatric lung retransplantation in the United States was completed...
  23. ncbi Repeat sternotomy in congenital heart surgery: no longer a risk factor
    David 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...
  24. ncbi 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...
  25. pmc Two scimitar veins in an adult: repair through a right thoracotomy without cardiopulmonary bypass
    Simon 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...
  26. ncbi Initial clinical experience with the HeartMate II ventricular assist system in a pediatric institution
    William 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...
  27. ncbi Effect of body mass index on outcome in pediatric heart transplant patients
    Joseph 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...
  28. doi Extubation in the operating room after Fontan's procedure: effect on practice and outcomes
    David 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...
  29. ncbi Encouraging results for the Contegra conduit in the problematic right ventricle-to-pulmonary artery connection
    David 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)...
  30. doi The potential to avoid heart transplantation in children: outpatient bridge to recovery with an intracorporeal continuous-flow left ventricular assist device in a 14-year-old
    Adam W Lowry
    Department of Pediatrics, Lillie Frank Abercrombie Section of Pediatric Cardiology, Baylor College of Medicine, Texas Children s Hospital, Houston, TX 77054, USA
    Congenit Heart Dis 7:E91-6. 2012
    ....
  31. doi Prevalence and outcomes of pediatric in-hospital cardiopulmonary resuscitation in the United States: an analysis of the Kids' Inpatient Database*
    Jarrod D Knudson
    Division of Pediatric Cardiology, Baylor College of Medicine, Texas Children s Hospital, Houston, TX, USA
    Crit Care Med 40:2940-4. 2012
    ..Single-center studies and voluntary registries may skew the estimated prevalence and outcomes. This study aimed to determine the prevalence and outcomes of pediatric cardiopulmonary resuscitation on a national scale...
  32. ncbi Salvaging the failing Fontan: lateral tunnel versus extracardiac conduit
    David 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
    ....
  33. pmc Epicardial implantable cardioverter-defibrillator system placed in a 4.9-kg infant
    Roosevelt Bryant
    Department of Congenital Heart Surgery, Texas Children s Hospital, Houston, TX 77030, USA
    Tex Heart Inst J 38:421-3. 2011
    ..To our knowledge, this 4.9-kg infant is the smallest patient to have undergone a successful implantation of this kind...
  34. ncbi Mechanical circulatory support for the pediatric patient
    Kathleen 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
    ....
  35. doi A double aortic arch mimicking a right aortic arch with an aberrant subclavian artery
    Iki Adachi
    Congenital Heart Surgery, Texas Children s Hospital, Houston, TX, USA
    J Vasc Surg 54:1151-3. 2011
    ..This diagnosis was confirmed intraoperatively, and division of the atretic portion released the bronchial obstruction. This case highlights the importance of careful evaluation of the vascular anatomy...
  36. doi Ascending sliding arch aortoplasty: a novel technique for repair of arch hypoplasia
    E Dean McKenzie
    Division of Congenital Heart Surgery, Department of Surgery, Baylor College of Medicine, Texas Children s Hospital, Houston, Texas 77030, USA
    Ann Thorac Surg 91:805-10. 2011
    ..This retrospective study reviews the use of a novel technique, ascending sliding arch aortoplasty, that utilizes viable autologous tissue for repair of arch obstruction in children beyond infancy...
  37. doi Mechanical support in childhood heart failure
    John Lynn Jefferies
    Cardiomyopathy and Heart Failure, Cardiovascular Genetics Service, Pediatric Cardiology, Texas Children s Hospital, Baylor College of Medicine, Houston, TX, USA
    Heart Fail Clin 6:559-73, x. 2010
    ..Achievement of these goals requires individualized care and a familiarity with the risks and benefits of particular therapies...
  38. doi Bridging children of all sizes to cardiac transplantation: the initial multicenter North American experience with the Berlin Heart EXCOR ventricular assist device
    David L S Morales
    Congenital Heart Surgery Division, Texas Children s Hospital, Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA
    J Heart Lung Transplant 30:1-8. 2011
    ..This retrospective study analyzed the initial Berlin Heart EXCOR pediatric experience as a bridge to transplantation...
  39. ncbi Empowering a database with national long-term data about mortality: the use of national death registries
    David 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
    ....
  40. doi De novo thrombus on an atrial septal defect device 3 years after its implantation
    Olawale O Olabiyi
    The Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Texas Children s Hospital, Baylor College of Medicine, 6221 Fannin St MC 19345 C, Houston, TX 77030, USA
    Pediatr Cardiol 34:1269-71. 2013
    ..Williams and Wilkins, Baltimore, 1995]. We present a patient with a very late complication of device thrombus after percutaneous secundum ASD device closure...
  41. doi Low incidence of arrhythmias in the right ventricular infundibulum sparing approach to tetralogy of Fallot repair
    Mary C Niu
    Lillie Frank Abercrombie Section of Pediatric Cardiology, Texas Children s Hospital, Houston, TX, USA
    Pediatr Cardiol 35:261-9. 2014
    ..Long-term follow-up evaluation is essential to determine whether this strategy can effectively alter late pathophysiology and minimize late-term arrhythmias and associated mortality. ..
  42. doi Williams syndrome and obstructed total anomalous pulmonary venous return: a previously unreported association
    Han Ki Park
    Division of Congenital Heart Surgery, Department of Surgery, Baylor College of Medicine, Texas Children s Hospital, Houston, Texas 77030, USA
    Ann Thorac Surg 94:289-91. 2012
    ..Cardiovascular abnormalities are frequently associated with Williams syndrome. This is a report of a rare patient with both Williams syndrome and obstructed TAPVR...
  43. ncbi Aortic atresia and type B interrupted aortic arch: diagnosis by physiologic cerebral monitoring
    Daniel 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...
  44. ncbi Hurricane Katrina: emergent interstate transport of an evacuee on biventricular assist device support
    William R Owens
    Division of Congenital Heart Surgery, Texas Children s Hospital, Houston, Texas, USA
    ASAIO J 52:598-600. 2006
    ....
  45. doi Corkscrew trachea: a novel type of congenital tracheal stenosis
    Roosevelt 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...
  46. ncbi The adult Fontan patient: update for 2011
    Peter R Ermis
    Baylor College of Medicine, Houston, Texas, USA
    Methodist Debakey Cardiovasc J 7:3-8. 2011
    ..The majority of the article will focus on information needed to adequately care for the adult Fontan patient...
  47. ncbi A double-blind randomized trial: prophylactic vasopressin reduces hypotension after cardiopulmonary bypass
    David 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...
  48. ncbi An alternative treatment strategy for pump thrombus in the DeBakey VAD Child: use of clopidogrel as a thrombolytic agent
    Matthew 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...