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Heart surgery by the locals in resource-limited settings: The experience from Ethiopia

BACKGROUND: In developing countries, despite its demand is high, heart surgery is not always accessible to the neediest patients. We aimed to describe the early outcomes of heart surgeries that were performed by a local cardiac surgical team in Addis Ababa, Ethiopia. METHODS: Data were collected thr...

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Autores principales: Agwar, Fekede Debel, Tekleab, Atnafu Mekonnen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9390689/
https://www.ncbi.nlm.nih.gov/pubmed/36003472
http://dx.doi.org/10.1016/j.xjon.2022.01.004
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author Agwar, Fekede Debel
Tekleab, Atnafu Mekonnen
author_facet Agwar, Fekede Debel
Tekleab, Atnafu Mekonnen
author_sort Agwar, Fekede Debel
collection PubMed
description BACKGROUND: In developing countries, despite its demand is high, heart surgery is not always accessible to the neediest patients. We aimed to describe the early outcomes of heart surgeries that were performed by a local cardiac surgical team in Addis Ababa, Ethiopia. METHODS: Data were collected through chart abstraction of patients who underwent heart surgery from the period of June 2017 to July 2021 by the same local cardiac surgical team at 3 centers in Addis Ababa, Ethiopia. Data were analyzed using the Statistical Package for the Social Sciences for Windows version 20.0. RESULTS: A total of 290 patients who underwent heart surgery during the specified period were included in the study. Of the total, 192 patients underwent valve surgery (177 were patients with rheumatic valvular disease and 15 were valve surgeries with other causes) with a 30-day mortality rate of 9 (4.7%), 33 patients underwent coronary artery bypass graft with a 30-day mortality rate of 3 (9.1%), 58 patients underwent repair for congenital heart diseases with no 30-day mortality. Specifically, button Bentall was done for 1 patient; maze procedure was done for 2 patients along with mitral valve surgery, and a total of 7 out of 290 (2.4%) underwent redo heart surgery. The overall procedure-related mortality was 4.1%. CONCLUSIONS: In addition to operating on a large number of cardiac patients, the local cardiac surgical team was able to do complex surgical procedures such as button Bentall, left maze procedure, redo valve surgeries, and coronary artery bypass graft surgery in a resource-limited setup. The overall patient outcome was comparable to reports from other centers.
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spelling pubmed-93906892022-08-23 Heart surgery by the locals in resource-limited settings: The experience from Ethiopia Agwar, Fekede Debel Tekleab, Atnafu Mekonnen JTCVS Open Adult: Rheumatic Heart Disease BACKGROUND: In developing countries, despite its demand is high, heart surgery is not always accessible to the neediest patients. We aimed to describe the early outcomes of heart surgeries that were performed by a local cardiac surgical team in Addis Ababa, Ethiopia. METHODS: Data were collected through chart abstraction of patients who underwent heart surgery from the period of June 2017 to July 2021 by the same local cardiac surgical team at 3 centers in Addis Ababa, Ethiopia. Data were analyzed using the Statistical Package for the Social Sciences for Windows version 20.0. RESULTS: A total of 290 patients who underwent heart surgery during the specified period were included in the study. Of the total, 192 patients underwent valve surgery (177 were patients with rheumatic valvular disease and 15 were valve surgeries with other causes) with a 30-day mortality rate of 9 (4.7%), 33 patients underwent coronary artery bypass graft with a 30-day mortality rate of 3 (9.1%), 58 patients underwent repair for congenital heart diseases with no 30-day mortality. Specifically, button Bentall was done for 1 patient; maze procedure was done for 2 patients along with mitral valve surgery, and a total of 7 out of 290 (2.4%) underwent redo heart surgery. The overall procedure-related mortality was 4.1%. CONCLUSIONS: In addition to operating on a large number of cardiac patients, the local cardiac surgical team was able to do complex surgical procedures such as button Bentall, left maze procedure, redo valve surgeries, and coronary artery bypass graft surgery in a resource-limited setup. The overall patient outcome was comparable to reports from other centers. Elsevier 2022-02-03 /pmc/articles/PMC9390689/ /pubmed/36003472 http://dx.doi.org/10.1016/j.xjon.2022.01.004 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Adult: Rheumatic Heart Disease
Agwar, Fekede Debel
Tekleab, Atnafu Mekonnen
Heart surgery by the locals in resource-limited settings: The experience from Ethiopia
title Heart surgery by the locals in resource-limited settings: The experience from Ethiopia
title_full Heart surgery by the locals in resource-limited settings: The experience from Ethiopia
title_fullStr Heart surgery by the locals in resource-limited settings: The experience from Ethiopia
title_full_unstemmed Heart surgery by the locals in resource-limited settings: The experience from Ethiopia
title_short Heart surgery by the locals in resource-limited settings: The experience from Ethiopia
title_sort heart surgery by the locals in resource-limited settings: the experience from ethiopia
topic Adult: Rheumatic Heart Disease
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9390689/
https://www.ncbi.nlm.nih.gov/pubmed/36003472
http://dx.doi.org/10.1016/j.xjon.2022.01.004
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