ADULT SURGICAL MISSION

SANTO DOMINGO, DOMINICAN REPUBLIC

MAY 6-13, 2017

CardioStart completed its 4^th annual Adult Cardiac Surgical Mission to Santo Domingo with great success. All patients did well and were discharged within a couple days of surgery.

Rheumatic Fever, caused by untreated strep throat caused many to have damaged valves at an early point in their lives leaving them debilitated. Others suffered from congenital defects that would have been repaired as infants or children but because of poverty have become adults with the defect impacting their physical condition.

CardioStarts’ mission of medical and nursing education made an impact on 94 nurses and medical students prior to the surgical cases beginning. Formal lectures were provided with limitations only on space. Plans are already in the works for a larger venue next year to meet the desire for ongoing education.

Bedside teaching, was provided to help local practitioners refine their skills and protocols.

Dr. Kirk Walker

PATIENTS

Name	Age	Diagnosis	Procedure	Outcome
Danna Paola Estela	19	Severe Mitral Valve regurgitation, Inactive rheumatic cardiomyopathy, Pulmonary HTN, Atrial Fibrillation, Cardiac cachexia	Bioprosthetic Mitral Valve replacement	Satisfactory
Jonatan De Los Santos	22	ASD with L-R Shunt Mitral Regurg. Moderate Arterial HTN, Atrial Fibrillation	Closure of ASD (Osteum Secundum) with autologous pericardium patch, Mitral valve repair with ring	Satisfactory
Jose Miguel Liriano	49	ASD Secundum with Pulmonary HTN, Mitral regurgitation	Surgical closure of ASD with autologous pericardium Patch , Mitral valve repair with ring	Satisfactory
Marino Reyes	40	Severe aortic stenosis with severe LV dysfunction	Tissue Aortic Valve Replacement	Satisfactory
Argenis de La Cruz	24	Severe aortic insufficiency, Bicuspid aortic valve, Systolic and diastolic dysfunction	Surgical replacement of Aortic Valve with bioprosthetic valve	Satisfactory
Mercedes Beltre	58	Mitral Stenosis (rheumatic) Severe tricuspid regurgitation	Mitral Valve Replacement, Tricuspid Valve Repair	Satisfactory
Dorca Dilenia Carbuccia Dorotea De Santana	53	Left Atrial Myxoma	Myxoma Resection with septum Repair	Satisfactory
Manuael Feliz	43	TEE indicated Mitral valve replaced in 2016 was in perfect condition. Severe Aortic Insufficiency with Chronic AV septic endocarditis	Redo AVR with aortic bioprosthesis.	Satisfactory
Austria Ferrera	65	Dilated cardiomyopathy/refractory ventricular arrythmia	ICD insertion	Satisfactory
Yudelkys Amparo	65	Dilated cardiomyopathy/refractory ventricular arrythmia	ICD insertion	Satisfactory
Perez Yubran Emillio Amable	41	Dilated cardiomyopathy/refractory ventricular arrythmia	ICD Insertion	Satisfactory
Pedro Adames	43	Dilated cardiomyopathy/refractory ventricular arrythmia	ICD Insertion	Satisfactory

EDUCATIONAL CONFERENCE

“Safe Surgery “: Alicia Smith, RN

Team Approach to patient safety
Using checklists to maintain safety

“Virtual Surgery”: Mariano Brizzio, MD

Videos of Common Cases
Presentation of complicated cases

(43 Attendees)

“ICU Nursing”: Janine Henson, RN BSN CCRN, Caitlin Crumpler, RN & Heather Rideout, RN BSN, CCRN-CSC, Mary Gregory, RN, Erin Acker, RN

Case Presentations
Cardiopulmonary Resuscitation
Epicardial Pacing
Postoperative Case Simulations
Shock
Postoperative Valve Cases

“Cardiology”: Kirk Walker, MD

Postoperative Cardiac arrhythmias
Diagnosis and Treatment
Insufficient Cardiac Decompensation – Heart Failure
Pathophysiology of Treatments

(51 Attendees)

“OR Hands On Training” by Alicia Smith RN (8 Attendees)

BEDSIDE TEACHING

Arterial Blood Gas basics

ECG Axis Deviation

Open Heart Surgery Recovery

CARDIOSTART TEAM

New Jersey	Profession
Mariano Brizzio, MD	Cardiothoracic Surgeon & Mission Director
Jeffery Levine, MD	Anesthesiologist
Alicia Smith, RN	Scrub Nurse
Elaine Dyskin-Kletsman, PA	First Assist/Circulator
Erin Acker, RN	ICU RN
Mary Gregory, RN	ICU RN
Texas
Caitlin Crumpier	ICU RN
Oregon
Kirk Walker, MD	Interventional Cardiologist
Heather Rideout, RN	ICU RN/Educator
California
Ashley Morgan, MD	Researcher
Pablo Zubiate, MD, CCP	Perfusionist
Minnesota
Janine Henson, RN	ICU RN/Mission Co-Director
Washington
Miroslav Ustemchuk, RN	ICU RN