Skip to main content

Cardiac Surgery Capacity Development in Emerging Countries

  • Chapter
  • First Online:
Global Cardiac Surgery Capacity Development in Low and Middle Income Countries

Abstract

Cardiovascular disease is the leading cause of mortality worldwide and 80% of these deaths are from low-and-middle income countries. Every 3 out 10 people with cardiovascular disease will require surgical intervention, yet the vast majority of patients do not have access to cardiac and thoracic surgical services. Sub-Saharan Africa has only 22 cardiac surgical centres to serve 1.1 billion people with an average of 1.6 open heart operations per million population. In this chapter we discuss the burden of cardiothoracic disease in low-and-middle income countries, the unmet need for surgical care, and the work needed to improve surgical services.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Vervoort D, Meuris B, Meyns B, Verbrughe P. Global cardiac surgery: access to cardiac surgical care around the world. J Thoracic Cardiovasc Surg. 159(3):987.

    Google Scholar 

  2. Yankah C, Fynn-Thompson F, Antunes M, Edwin F, Yuko-Jowi C, Mendis S, et al. Cardiac surgery capacity in sub-Saharan Africa: quo vadis? Thorac Cardiovasc Surg. 2014;62:393–401.

    Article  Google Scholar 

  3. Vevoort D, Swan J, Pezella T, Kpodonu J. Cardiac surgery in low- and middle-income countries: a state-of-the-art review. Ann Thoracic Surg. 2020.

    Google Scholar 

  4. Hewitson J, Zilla P. Children’s heart disease in sub-Saharan Africa: challenging the burden of disease Childrens heart disease. SA Heart. 2010;7(1):18–29.

    Google Scholar 

  5. Watkins D, Zuhlke L, Engel M, Daniels R, Francis V, Shaboodien G, et al. Seven key actions to eradicate rheumatic heart disease in Africa: the Addis Ababa communique. Cardiovasc J Afr. 2016;27:1–5.

    Article  Google Scholar 

  6. Zilla P, Bolman RM, Yacoub MH, Beyersdorf F, Sliwa K, Zühlke L, et al. The Cape Town declaration on access to cardiac surgery in the developing world. S Afr Med J. 2018;108:702–4.

    Article  CAS  Google Scholar 

  7. Linegar A, Smit F, Goldstraw P, van Zyl G. Fifty years of thoracic surgical research in South Africa. SAMJ. August 2009;99(8).

    Google Scholar 

  8. Linegar A, Van Zyl G, Smith F, Goldstraw P. Pleuro-pulmonary disease in central South Africa: a thoracic surgical deficiency. SAMJ. August 2010;100(8).

    Google Scholar 

  9. Linegar A, Smith F, et al. A South African national database in cardiothoracic surgery. Cardiovasc J Africa. May/June 2010;21(3).

    Google Scholar 

  10. Facillo J, Watkins D, Brooks A, et al. Making cardiac surgery feasible in African countries: experience from Namibia, Uganda, and Zambia. J Thoracic Cardiovasc Surg. November 2019;158(5):1384–1393.

    Google Scholar 

  11. Tahan MR, Vasquez LM, Rp A, et al. Perspectives on the fellowship training in cardiac, thoracic, and vascular anesthesia and critical care in europe from program directors and educational leads around Europe. J Cardiothorac Vasc Anesth. 2020;34(2):512–20.

    Article  Google Scholar 

  12. Global health initiatives in cardiothoracic surgery: ethical considerations and guidelines. https://www.jtcvs.org/article/S0022-5223(20)31320-9/pdf.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Salome Maswime .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Maswime, S., Alphonsus, C., Da Silva, N. (2022). Cardiac Surgery Capacity Development in Emerging Countries. In: Kpodonu, J. (eds) Global Cardiac Surgery Capacity Development in Low and Middle Income Countries. Sustainable Development Goals Series. Springer, Cham. https://doi.org/10.1007/978-3-030-83864-5_28

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-83864-5_28

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-83863-8

  • Online ISBN: 978-3-030-83864-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics