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Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery

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Making a Difference: 5 Years of Cardiac Surgery Intersociety Alliance (CSIA).

R M Bolman¹, P Zilla², F Beyersdorf³

¹Division of Cardio-Thoracic Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota.

The Annals of Thoracic Surgery

|June 12, 2024

Summary

The Cardiac Surgery Intersociety Alliance (CSIA) established sustainable cardiac surgery programs in Mozambique and Rwanda. These initiatives improved access to care and strengthened local capacity for treating rheumatic heart disease.

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Area of Science:

Global Health
Cardiovascular Surgery
Developing Economies

Background:

Significant unmet need for cardiac surgery in developing regions.
Disparities in access to essential cardiovascular care globally.
Initiated by a call to action from global leaders in cardiac surgery.

Purpose of the Study:

To establish sustainable cardiac surgical capacity in low-income countries.
To address the disparity in access to cardiac surgery.
To advocate for and implement local cardiac surgery programs.

Main Methods:

Formation of the Cardiac Surgery Intersociety Alliance (CSIA).
Global needs assessment identifying rheumatic heart disease as primary pathology.
Selection and mentorship of pilot sites in Mozambique and Rwanda.
Partnerships with local institutions and NGOs for training and support.

Main Results:

Successful establishment of cardiac surgery programs in Mozambique and Rwanda.
Increased case numbers and government commitment in pilot sites.
Infrastructure upgrades and industry/donor support secured.
Demonstrated sustainability of local cardiac surgical capacity.

Conclusions:

The CSIA model effectively builds sustainable cardiac surgical capacity in developing countries.
International collaboration and mentorship are crucial for improving access to cardiac surgery.
The CSIA 'Seal of Approval' promotes program development and global alignment.