Showing papers by "David L.S. Morales published in 2006"
TL;DR: At midterm follow-up, heterotaxy patients undergoing total anomalous pulmonary venous return repair have a higher pulmonary vein reoperative rate but a comparable overall survival to nonheterotaxy Patients.
69 citations
TL;DR: At midterm follow-up, the Contegra conduit remains a reliable, accessible, and easily implantable conduit for right ventricular outflow tract reconstruction and appears to be the most promising conduit option for patients with previous homograft conduits and for infants.
53 citations
TL;DR: The DeBakey VAD Child (MicroMed Technology, Inc, Houston, TX) represents a hopeful initial step in the direction of reducing the technological gap between adults and children.
50 citations
TL;DR: Aortic arch advancement without a patch can be applied to IAA patients, with the expectation of a minimal need for arch reintervention, and selective cerebral perfusion may be a contributing factor.
35 citations
TL;DR: In this article, near-infrared spectroscopy was used to monitor cerebral and mesenteric regional oximetry in a preterm neonate undergoing surgical ligation of a patent ductus arteriosus.
Abstract: Near-infrared spectroscopy was used to monitor cerebral and mesenteric regional oximetry in a preterm neonate undergoing surgical ligation of a patent ductus arteriosus. This patient initially demonstrated severe mesenteric oxyhemoglobin desaturation, which improved immediately following ductal ligation.
29 citations
TL;DR: The use of clopidogrel is reported as an alternative thrombolytic agent in the presence of pump thrombus in an adolescent patient with a DeBakey VAD Child heart pump.
Abstract: Our institution has used the DeBakey VAD Child as a bridge to heart transplantation in select pediatric patients. Pump thrombus is a potentially serious complication with few available treatment options. Only surgical device exchange or the use of tissue plasminogen activator are reported in the literature. 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.
14 citations
TL;DR: This review describes the different aspects of pediatric MCS including indications, the features of the various VADs, and their current application in children worldwide.
Abstract: Mechanical circulatory support (MCS) in the pediatric heart failure population has a limited history especially for infants, and neonates. It has been increasingly recognized that there is a rapidly expanding population of children diagnosed and living with heart failure. This expanding population has resulted in increasing numbers of children with medically resistant end-stage heart failure. The traditional therapy for these children has been heart transplantation. However, children with heart failure unlike adults do not have symptoms until they present with end-stage heart failure and therefore, cannot safely wait for transplantation. Many of these children were bridged to heart transplantation utilizing extracorporeal membranous oxygenation as a bridge to transplant which has yielded poor results. As such, industry, clinicians, and the government have refocused interest in developing increasing numbers of MCS options for children living with heart failure as a bridge to transplantation and as a chronic therapy. In this review, we discuss MCS options for short and long-term support that are currently available for infants and children with end-stage heart failure.
14 citations
01 Jan 2006
TL;DR: Near-infrared spectroscopy was used to monitor cerebral and mesenteric regional oximetry in a preterm neonate undergoing surgical ligation of a patent ductus arteriosus, which improved immediately following ductal ligation.
Abstract: Near-infrared spectroscopy was used to monitor cerebral and mesentericregional oximetry in a preterm neonate undergoing surgical ligation of apatent ductus arteriosus. This patient initially demonstrated severemesenteric oxyhemoglobin desaturation, which improved immediatelyfollowing ductal ligation.Journal of Perinatology (2006) 26, 562–564. doi:10.1038/sj.jp.7211559Keywords: spectroscopy; near-infrared; ductus arteriosus; patent;preterm infants; splanchnic circulation
12 citations
TL;DR: A 15-year-old boy with dilated cardiomyopathy who was receiving biventricular mechanical circulatory support at a New Orleans hospital was successfully transported by Angel One Transport from Arkansas Children's Hospital across state lines to Texas Children's hospital, where he was stabilized and received an orthotopic heart transplant.
Abstract: In many U.S. hospitals, mechanical circulatory support has become routine. However, catastrophes such as Hurricane Katrina test the abilities of a hospital system to sustain patients on such support and transport them in emergent situations. A 15-year-old boy with dilated cardiomyopathy who was receiving biventricular mechanical circulatory support at a New Orleans hospital was successfully transported by Angel One Transport from Arkansas Children's Hospital across state lines to Texas Children's Hospital, where he was stabilized and received an orthotopic heart transplant.
9 citations