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About
I am a board-certified cardiothoracic surgeon. After obtaining my medical degree and general surgery residency at The University of Texas Southwestern Medical Center, I completed cardiothoracic surgical training at The University of Southern California under the leadership of Dr. Vaughn Starnes. In 2019, I was fortunate to join the esteemed and excellent group of cardiothoracic surgeons led by Dr. John Calhoon here at University Hospital and UT Health in San Antonio. I am an Associate Professor of Cardiothoracic Surgery at UT Health San Antonio. I also serve as Associate Program Director of the Thoracic Surgery Residency program and am the faculty advisor for the CT Surgery Interest group at the School of Medicine.
I enjoy aortic surgery including aortic root and aortic arch surgery, multiple arterial coronary bypass grafting, and structural heart interventions including transcatheter aortic valve replacement (TAVR).
My passion is to continually improve patient's lives and outcomes through collaborative approaches to patient care, and through community education on the prevention and treatment of heart disease. I am a key member of the UT Health Heart Team, as well as a board member and President-Elect of the San Antonio Chapter of the American Heart Association.
A native of Texas, I am a graduate of The Juilliard School and was a violinist in the Hong Kong Philharmonic Orchestra before changing careers. Since 2012 I have been blessed to be married to Justin Wirpel, a principal partner at Isogent, an information technology services company.
Career Highlights:
I am an active mentor in both clinical and academic research for many students and residents.
I am on the board of the San Antonio chapter of the American Heart Association. Nationally, I serve on the Editorial Boards of the Annals of Thoracic Surgery and The Journal of Thoracic and Cardiovascular Surgery. I also serve on the Society Of Thoracic Surgeons Political Action Committee Board of Directors to promote advocacy for cardiothoracic surgeons and their patients.
Research Interests:
Clinical outcomes and translational research.
Philosophy of Care Statement:
As a cardiac surgeon, I am humbled and honored to treat a disease that affects many peoples' quality of life, as well as life expectancy. Heart surgery is a serious undertaking. In addition to carefully evaluating my patients' anatomy, physiology, cardiac lesions and overall health, I take care to understand them as people, and to learn what their goals in being treated are. I believe this approach is valuable to having both patient and doctor work together for the best outcomes.
Interests & Hobbies:
Reading, hiking, cooking & music.
Video
Articles & Publications
Journal Articles
MacGillivray TE, Gleason TG, Patel HJ, Aldea GS, Bavaria JE, Beaver TM, Chen EP, Czerny M, Estrera AL, Firestone S, Fischbein MP, Hughes GC, Hui DS, Kissoon K, Lawton JS, Pacini D, Reece TB, Roselli EE, Stulak J. .STS/AATS Clinical Practice Guidelines on the Management of Type B Aortic Dissection. Ann Thorac Surg 2021. In press. DOI: 10.1016/j.athoracsur.2021.11.002.
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Hui DS, Restrepo CS, Calhoon JH. .How to do it: Surgical Decision-Making for Left Ventricular Aneurysmectomy. Ann Thorac Surg 2020 Jun 10;S0003-4975(20)30896-1. doi: 10.1016/j.athoracsur.2020.04.096..
Lee MV, Kostantinoff K, Gegios A, Miles K, Appleton C, Hui DS. .Breast Cancer Malpractice Litigation: A 10-Year Analysis and Update in Trends. Clin Imaging. 2019 Dec 11;60(1):26-32..
Helmy T, Hui DS, Smart S, Lim MJ, Lee R. .Balloon assisted translocation of the mitral anterior leaflet to prevent left ventricular outflow obstruction (BATMAN): A novel technique for patients undergoing transcatheter mitral valve replacement. Catheter Cardiovasc Interv. 2019 Sep 13. doi: 10.1002/ccd.28496..
Greenberg JW, Lee R, Hui DS. .Patient selection and methods of surgical left atrial appendage exclusion J Thromb Thrombolysis. 2019 Aug;48(2):209-214. doi: 10.1007/s11239-019-01881-2..
Hui DS, Lee R, Moon MR, Edwards MA, Boutrous ML, Luc JGY, Prager RL, Naunheim KS..Disparity between recent graduates and experienced surgeons’ assessment of time to operative independence. J Thorac Cardiovasc Surg 2019 May;157(5):1925-1932. doi: 10.1016/j.jtcvs.2018.08.124..
Zhao X, Hui DS, Lee R, Edwards JL. .Ratiometric quantitation of thiol metabolites using non-isotopic mass tags. Anal Chim Acta. 2018 Dec 11;1037:274-280..
Backhus LM, Fann BE, Hui DS, Cooke DT, Berfield KS, Moffatt-Bruce SD. .Culture of safety and gender inclusion in cardiothoracic surgery. Ann Thorac Surg 2018 Oct;106(4):951-958. doi: 10.1016/j.athoracsur.2018.07.011..
Huang T, Armbruster M, Lee R, Hui DS, Edwards JL. .Metabolomic analysis of mammalian cells and human tissue through one-pot two stage derivatizations using sheathless capillary electrophoresis- electrospray ionization-mass spectrometry. J Chromatogr A. 2018 Sep 14;1567:219-225. doi: 10.1016/j.chroma.2018.07.007.
Hui DS, Miles KM, Lee R. .Neurologic injury predicts plaintiff award in federal cardiac surgery trials. Ann Thorac Surg 2018 Sep;106(3):691-695. doi: 10.1016/j.athoracsur.2018.03.061..
Huang T, Toro M, Lee R, Hui DS, Edwards JL. .Multi-functional derivatization of amine, hydroxyl, and carboxylate groups for metabolomic investigations of human tissue by electrospray ionization mass spectrometry. Analyst. 2018 Jul 21;143(14):3408-3414. doi: 10.1039/c8an00490k..
Hui DS, Lizalek JM, Chawa VS, Lee R. .Operative techniques for improving surgical exposure in basic cardiac surgery. J Vis Surg 2018 Apr 27;4:80. doi: 10.21037/jovs.2018.03.19.
Lee R, Hui DS, Helmy TA, Lim MJ. .Transapical mitral replacement with anterior leaflet splitting: a novel technique to avoid left ventricular outflow tract obstruction. J Thorac Cardiovasc Surg. J Thorac Cardiovasc Surg 2018 Mar;155(3):e95-e98..
Hui DS, Lee R. .Mechanical occlusion of the left atrial appendage: lessons from surgical experience. Nat Rev Cardiol 2018 Feb;15(3):191. doi: 10.10389/nrcardio.2018.7.
Hui DS, Lee R. .Longitudinal studies in surgical ablation for atrial fibrillation: the next step. Semin Thorac Cardiovasc Surg Autumn 2017;29(3):299-300. doi: 10.1053/j.semtcvs.2017.09.007..
Hui DS, Lee R. .Modified internal ligation of the left atrial appendage. J Thorac Cardiovasc Surg 2017 Sep;154(3):847-848. doi: 10.1016/j.jtcvs.2017.04.077..
Bourdillon MT, Akhter AS, Vrtikapa D, Avdagic A, McNeese MA, Lee R, Hui DS. .Cardiovascular health in St. Louis Bosnian-Americans. J Immigr Minor Health. 2017 Aug 18. doi: 10.1007/s10903-017-0641- 1.
Hui DS, Fleischman F. .Diagnostic and treatment dilemmas of the aortic arch. Cardiol Clinics 2017 Aug;35:347-355. doi:10.1016/j.ccl.2017.03.012.
Hui DS, Bonow RO, Stolker JM, Braddock SR, Lee R. .Discordant aortic valve morphology in monozygotic twins. JAMA Cardiol. 2016 Dec 1;1(9):1043-1047. doi: 0.1001/jamacardio.2016.2522..
Hui DS, Fleischman F, Mcfadden P. .Thromboembolism-in-transit and patent foramen ovale: should screening echocardiogram be routine for thromboembolic disease? Ochsner J. 2016 Fall;16(3):321-323. PMID: 27660585.
Hui DS, Lee R. .Minimally invasive bilateral thoracoscopic maze. Jnl Vis Surg 2016;2:133. doi: 10.21037/jovs.2016.07.19.
Bowdish ME, Hui DS, Cleveland JD, Mack WJ, Sinha R, Ranjan R, Cohen RC, Baker CJ, Cunningham MJ, Barr ML, Starnes VA. .A comparison of aortic valve replacement via an anterior right mini-thoracotomy to standard sternotomy – a propensity score analysis of 492 patients. Eur J Cardiothor Surg 2016 Feb;49(2):456-63. doi:10.1093/ejcts/ezv038..
Hui DS, Stoeckel DA, Kaufman EE, Jacobs DL. .Massive hemoptysis from an aortobronchial fistula Secondary to BCG-related mycotic thoracic aortic aneurysm. Ann Thorac Surg 2016 Jan; 101(1):350- 352. doi:10.1016/j.athoracsur.2015.03.053..
Esch C, Hui DS, Lee R, Edwards JL. .Quantitation of thiol metabolites from mammalian cells using fluorous tagging and HILIC-MS. Anal Methods; 7: 7164-69. doi: 10.1039/C5AY00603A.
Hui DS, Lee R, Mikolajczak PC, Morley JE. .Atrial fibrillation: A major risk factor for cognitive decline. Am Heart J; 169(4): 448-456. doi:10.1016/j.ahj.2014.12.015.
Shah AS, Lee R, Lim MJ, Neumayr RH, Hui DS, Stolker JM. .Impella 5.0 implantation via sheath in tortuous and vasoconstricted arteries. Tex Heart Inst J 2015 Aug; 42(4): 385-388. doi: 10.14503/THIJ- 14-4337..
Enter DH, Lou X, Hui DS, Andrei AC, Barner HB, Lee R. .Practice improves performance on a coronary anastomosis simulator, attending surgeon supervision does not. J Thorac Cardiovasc Surg. 2015 Jan;149(1):12-17.e2. doi: 10.1016/j.jtcvs.2014.09.029..
Hui DS, Shavelle DM, Cunningham MJ, Matthews RV, Starnes VA. .Contemporary use of balloon aortic valvuloplasty in the era of transcatheter aortic valve implantation. Tex Heart Inst J 2014 Oct;41(5): 469-76. doi 10.14503/THIJ-13-3757.
Hui DS, Alderson LJ, Lee R. .Left atrial appendage thrombus after successful surgical exclusion on anticoagulation: a need for closer postintervention monitoring. Ann Thorac Surg 2014 Oct;98(4):1478. doi: 10.1016/j.athoracsur.2014.06.075.
Hui DS, Gill IS, Cunningham MJ. .Minimally invasive approach to the supra diaphragmatic inferior vena cava: total thoracoscopic caval isolation. Innovations (Phila) 2014 Mar-Apr; 9(2): 154-7. doi: 10.1097/IMI.0000000000000063.
Cunningham MJ, Hui DS, Baker CJ, Lopez BM, Starnes VA. .Mitral valve repair: The transatlantic correction; valve in the heart of the Big Apple VII: Evaluation and management of valvular heart diseases. Cardiology 2012;121:87-148..
Hui DS, Lang JL, Eastman AL, Frankel HL, O’Keefe T. .A survey of critical care education and training in surgery residents: Will they be ready? J Surg Res, 2010 Sep;163(1): 132-4. doi: 10.1016/j.jss.2010.04.023..
