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Surgery for congenital heart disease in Pakistan-the challenges and solutions

Mahim Akmal Malik1, Asad Saulat Fatimi2, Alizeh Sonia Fatimi2

  • 1Department of Surgery, Rawalpindi Institute of Cardiology, Rawalpindi, Pakistan.

Indian Journal of Thoracic and Cardiovascular Surgery
|May 26, 2025
PubMed

Insights

Managing pediatric congenital heart disease (CHD) in Pakistan needs unique strategies, not just imported guidelines. This review explores specific challenges and solutions for surgical CHD care in Pakistan.

Area of Science:

  • Cardiology
  • Pediatric Surgery
  • Global Health

Background:

  • Pediatric congenital heart disease (CHD) management in low- and middle-income countries (LMICs) presents unique obstacles.
  • Existing guidelines from high-income countries may not be directly applicable to the Pakistani context.

Purpose of the Study:

  • To examine the specific challenges in surgical management of CHD in Pakistan.
  • To offer context-specific solutions for the evolving and persistent burden of CHD in Pakistan.

Main Methods:

  • This is a review article, synthesizing existing literature and data.
  • Analysis of the disease burden and healthcare system factors in Pakistan.

Main Results:

  • Surgical management of CHD in Pakistan faces significant hurdles.
  • Context-specific adaptations are crucial for effective care delivery.

Conclusions:

  • A tailored approach is essential for improving surgical outcomes in pediatric CHD patients in Pakistan.
  • Addressing Pakistan's unique healthcare landscape is key to overcoming management challenges.

Keywords:
Access to careCongenital heart diseaseGlobal surgery

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