| Journal: | Brazilian journal of cardiovascular surgery |
| Database: | PERIÓDICA |
| System number: | 000290474 |
| ISSN: | 1678-9741 |
| Authors: | Burgos-Irazabal, Jose Rampersad, Risshi D Gomes, Walter J Rampersad, Kamal A Angelini, Gianni D |
| Year: | 2005 |
| Season: | Jul-Sep |
| Volumen: | 20 |
| Number: | 3 |
| Pages: | 332-335 |
| Country: | Brasil |
| Language: | Portugués |
| Document type: | Artículo |
| Approach: | Caso clínico, analítico |
| English abstract | INTRODUCTION: The Caribbean is a multi-ethnic society, including Caucasian, Afro-Caribbean, East Indians, Asians, Hispanics, European and natives, which has a broad range of living standards. The incidence and types of heart diseases vary significantly amongst these races. We report the surgical experience (adult and paediatric) of a low volume multiethnic population service based on Trinidad and Tobago. METHODS: The Adult Heart Surgery program started in November 1993. The data on a total of 878 cases (629 male, median age 67, range 18-88 years old) is reported. Of these 39.4% were diabetics and 46.5% hypertensive. The procedures performed include coronary artery bypass grafting, valve repair and replacement, and major aortic surgery including emergency dissection. The paediatric heart surgery program started in Sept 1998 and a total of 279 operations have been performed (Age range, 2 weeks to 21 years) RESULTS: Adult - Overall mortality was 3.8%. The majority of procedures were CABG (82.3%) with an overall mortality of 2.8% (0% in 2004). Off pump CABG accounts for 43% of the total procedures (71.2% in 2004). Aortic valve surgery was carried out in 49 patients and mitral valve replacement/ repair in 96 either with or without CABG. Paediatric - The majority of the procedures were VSD 111, ASD 57, TOF 23, and 88 others (including A-V canal, BT shunt, aorta coarctation) with an overall mortality of 1.5%. CONCLUSION: Heart surgery in a multiethnic low volume service can be performed with excellent results comparable to international standards for adults and paediatrics |
| Portuguese abstract | A maioria dos procedimentos foi CRM (82,3%) com mortalidade total de 2,8% (0% em 2004). A técnica sem circulação extracorpórea foi empregada em 43% dos procedimentos de CRM (71,2% em 2004). A cirurgia de valva aórtica foi feita em 49 pacientes, e a substituição/reparo da valva mitral em 96 doentes. Pediátricos - a maioria dos procedimentos foi correção de comunicação interventricular (111), comunicação interatrial (57), tetralogia de Fallot (23), e 88 outros (com mortalidade de 1,5%). CONCLUSÃO: Cirurgia cardíaca em um serviço multiétnico de baixo volume pode ser realizada com excelentes resultados, comparáveis com padrões internacionais de qualidade |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Hospitales, Sistema cardiovascular, Técnicas quirúrgicas, Revascularización miocárdica, Estadísticas, Circulación extracorpórea |
| Keyword: | Medicine, Cardiovascular system, Hospitals, Surgery, Surgical techniques, Myocardial revascularization, Statistics, Extracorporeal circulation |
| Full text: | Texto completo (Ver HTML) |
