Expert Information
Currently engaged in clinical practice: Yes
Degree: M.D.
Specialty / Subspecialty:
- Pediatrics - Pediatric Cardiology
Area of Expertise: pediatric cardiology, congenital interventional cardiology, pediatric interventional cardiology
Year of Medical Training Completion: 2016
City of Practice: AURORA
State of Practice: Colorado
Previous Experience As Expert Witness: No
Type of Practice: Academic
Available to Review Cases: Yes, only for the defendant
Available to Be Deposed: No
Available to Testify In Trial: No
Training and Additional Credentials
Medical School: universitdad Dr Jose Matias Delgado, El Salvador
Year of Completion: 2008
Residency: Miami Children's Hospital
Year of Completion: 2013
Fellowship: Northwell Health, Long Island Jewish / University of Colorado
Year of Completion: 2016
Academic / Leadership Information
Highest Academic/Leadership Position Achieved: Doctorate
Current Academic Affiliation: University of Colorado
Distinguishing Achievements
Awards: -
Number of Publications on PubMed: 55
Professional Organizations: AHA, ACC, SCAI, PICS
Fee Schedule
Medical Record Review:
Review of Medical Records, Review of Additional Materials, additional office consultation
- $600
- $200
Independent Medical Examination:
Independent Medical Examination with written report
- Per Hour: $500
Deposition in office:
Deposition: Discovery/Evidence
- First two hours: -
- For each Additional hour or any portion thereof: -
- Retainer (due 14 days prior to scheduled disposition): -
- Cancellation fee (less than 7 days notice): -
Trial (InState):
- Initial day: -
- Cancellation fee (less than 72 hours notice): -
- For each additional day: -
- Cancellation fee (less than 72 hours notice): -
- Retainer (due 14 days prior to scheduled trial): -
Trial (Out of State):
- Initial day: -
- Cancellation fee (less than 72 hours notice): -
- For each additional day: -
- Cancellation fee (less than 72 hours notice): -
- Retainer (due 14 days prior to scheduled trial): -
Case Responses
Closure of VSD results in cerebral infarcts (Case #426)
- Medical Probability: 4 / 10
- Medical Error Summary: The problem with this case is that the kid had hemodynamic criteria for closure (shunt >2:1) but generally we would wait to close this defect in te setting of no heart failure, good growth and no evi...
- Causation Probability: 4 / 10
- Causation Summary: Although uncommon stroke is a risk with procedures that involved the left heart, this case is really an unfortunate series of events and the main problem is that likely in our traditional practice (wi...
- Expert Summary: Congenital interventional cardiologist for 7 years in a high volume center
- Similar Summary: Patients with VSDs at this age that need decision making to close are often. Percutaneous VSD closures are less frequent ( approx 5-10/year)
8yo ECMO Cannulation complicated by tamponade, death (Case #511)
- Medical Probability: 8 / 10
- Medical Error Summary: The order of events suggest potential heart perforation with the venous cannula. Echocardiography not always demonstrates the tip of the cannula, so likely upon advancing there was perforation with re...
- Causation Probability: 7 / 10
- Causation Summary: The patient was extremely sick with unclear outcome even if VV ECMO was successful. The potential injury caused the final outcome in a very sudden manner.
- Expert Summary: I am primary operator for percutaneous ECMO cannulations in a high volume pediatric center. Support ECMO cannulation for surgical teams when percutaneous is not appropriate
- Similar Summary: I have seen two more in my career like this. Usually not having live fluoroscopic guidance is a limitation with increased likelihood for this to happen. But still very rare.
