Mission Report: Bicol, Philippines, Feb. 2–13, 2020

In 2019, Dr. Mariano Brizzio, (Adult cardiac surgeon with CardioStart International) was invited to lead a mission to Legazpi, Philippines (Bicol Region) Bicol Medical Center to treat adults in need of heart care by the New Jersey Rotary District 7490/Gift of Life.  Dr. Brizzio took on the challenge and built a team from Valley Hospital and Healthcare System, Ridgewood New Jersey.  Additional team members were invited and vetted by CardioStart administration.

Roughly, only 10% of the Philippine population have insurance to have cardiac procedures.  The few government supported hospitals that assist these patients have massive waiting lists and those patients must pay.  This mission was focused on the neediest.  Gift of Life has been bringing patients to Valley Hospital in NJ for the last 10 years but wanted to make a bigger impact at once to address the huge waiting list.  They were able to do that successfully.

The mission was a combined program addressing both adult cardiac surgery and interventional cardiology.  The catheterization lab was led by Dr. Tom Cocke.  Twenty-one interventional cardiac procedures took place during the course of the two weeks. (11 PCI, 4 ASD closures, 3 PDA, 3 PCMV)   Sixteen heart surgeries were performed by Dr. Brizzio and team.  A grand total of 37 procedures in 9 days.  All cases were successful during the mission however, the team was sad to learn one patient died of complications from blood thinners weeks later.

CardioStart professionals interacted side-by-side with Bicol Regional Teaching and Training Hospital staff to transfer best practices over the course of the mission.  Hours of teaching took place building a stronger program for patients who will come after this mission.  A full complement of 16 health care professionals cared for these patients and were supported by 5 Rotary/Gift of Life volunteers who supported the team and through the two weeks.  The team was entertained to a fun weekend in between the two weeks as a treat by the rotary seeing a bit of the countryside and enjoying each other outside of the hospital.  The team was thankful for the break and a bit of rest.

Echo Patient List/Catheterization Lab Procedures/Surgical Procedures

CardioStart Philippines Mission, Legazpi City, Feb 2-13, 2020

LAST

FIRST

DOB

DIAGNOSIS

ECHO

INTERVENTION

Dreu

Paulo

48 years

RHD, MVP with severe MR

TTE pre-op

TTE post-op

MVR repair, P2 artery closure-edward band #30

Alvarez

Nathan

06/01/1980

RHD, severe AI,

Afib

TTE pre-op

AVR St. Jude 23 mm, Annuloplasty ring 27 mm

Mijares

Patricia

05/25/1998

PDA

TTE post-proc

Amplatzer closure

Vallente

Uzzielzes (Faith)

02/27/1998

ASD (too large for amplatzer closure)

ICE in Cath lab

TTE post-surg

Surgical ASD repair pericardial patch

Ballesteros

Liezel

11/16/1997

RHD, MS

TTE pre-op

TTE post-op

MVR Edwards #25, Magna? LAAL clot

Suarez

Shienah

12/16/1986

RHD, MS

TEE pre-proc

TTE post-proc

PTMC (balloon valvuloplasty)

Oro

Cheska

6/16/2000

RHD, severe AI

TTE pre-op

AVR Medtronic Mosaic Aortic Bio. 21 mm

Amante

Oligario

7/27/1979

RHD, MVP with severe MR and bicuspid AV

Afib

TTE with bubble study pre-op

MV repair : P3 plication and annuloplasty band :Simulus Medtronic #33

Danao

MaryAnn

8/24/1982

RHD, MS, severe TR

CHB

TTE pre-op

TTE with bubble study post-op (patient had post-op CVA)

MV Replacement

Medtronic Mosaic Bio. #27/TVA

Taculod

Joseph

PDA

TTE post-proc

Amplatzer closure

Jocom

Antonello

6/23/1984

RHD, MS

TTE pre-proc

TTE during proc

TTE post proc

PTMC (balloon valvuloplasty)

Hubilla

Isagani

49 years

RHD, MS/MR

TTE pre-op

TTE post-op

MVR St. Jude Mech. #25, LAA thrombectomy, LAA resection

Cayanong

Bros King

12/3/1994

ASD

ICE in cath lab

TTE post op

ASD repair: Autologous Pericardial patch

Maquinana

Xena

7/4/1998

RHD, severe MR

TTE pre-op

TTE post-op

MV replacement St. Jude Mechanical  # 29, TV repair Tri-Ad ring #26

Jacob

Rowena

RHD, MS

TTE pre-proc

TTE during proc

TTE post-proc

PTMC (balloon valvuloplasty)

Layderos

Francis

9/16/1984

RHD, MVP, Cor Triatriatum

TTE pre-op

MVR St. Jude Mechanical #27

Bornilla

Francis

8/22/1985

RHD: MS

TTE pre-op

MVR St Jude mechanical #25

LA thrombectomy LAA resection

Arsenal

Hariel Ray

1/8/1992

RHD, MS, severe AI, TV coaptation failure, some PTH

TTE pre-op

MVR mech. St. Jude #31, AVR, TR repair TM-AD #34, LA Thrombectomy

Palmes

Benjamin

2/10/1964

RHD, MS, MVP, right ventricular failure

TTE

No intervention

Abanilla

Jonalyn

8/5/1990

RHD, MS

TTE pre-op

Case referred to U.S.A. for surgery

Ortua

Patrick

5/31/1989

VSD, severe AI

TTE pre-op

AVR mech. St. Jude #23, VSD repair with pericardial patch Direct-transaortic

Basilar

Rose Ann

3/24/1995

ASD

ICE during proc

Amplatzer closure

Buscargas

Ricky May

ASD

ICE during proc

Amplazter closure

Negreto

Emily

4/6/1997

PDA

TTE pre proc

TTE post proc

Amplatzer closure

Gamba

Dexter

Age 22

RHD, MS

MV replacement ST. Jude 29 mm/TV repair 28mm

Melani

Lisay

Age 40

RHD

Afib

MV replacement Mosaic MDT25 Redo sternotomy

Alvarez

Nathen

Age 39

RHD, Severe AI & MR

St. Jude Mechanical #23 23mm,  Simulus Medtronic annuloplasty ring 27 mm

*Last names in red bold=Surgical Procedure

NAME

SPECIALTY

HOME

Tom Cocke, MD

Interventional Cardiologist      

NJ

Mariano Brizzio, MD                

Cardiac Surgeon

NJ

Jeff Levine, MD

Anesthesiologist

NY

Linda Romeo, APRN

Patient Care Coordinator

NJ

Elaine Kletsman, PA

PA, First Assist

NJ

Dan Cannata

Scrub Tech

NJ

Cris Biloy, RN

ICU Nurse

Philippines

Lisa LaRiccia, RN

ICU Nurse

FL

Minerva Manalili, RN

ICU Nurse

NJ

Roseni Mondia-Kwaky, RN

ICU Nurse

NJ

Lee Malcolm, RN

ICU Nurse

Canada

Nate Manuel, RN

ICU Nurse

NJ

Christine Lannon

Research Database

TX

Ky Palisoc

Research Database

NJ

Hermogenes Dela Cruz Lopez, CCP

Perfusionist

MD

Kristen Eckert, Rad Tech

Cath Lab Tech

NJ

Jeanne Juneau, RDCS

Cardiac Sonographer

VA

Bob Klingen

Chairman, Gift of Life

NJ

Jennifer Padolina

Coordinator, Gift of Life

NJ

Sophie Stone

Photographer, Gift of Life

NJ

Charlene Klingen

Volunteer, Gift of Life

NJ

Acknowledgements

  • Legazpi West Rotary Club:  Team transportation needs, end of mission entertainment, dinner, music and tour
  • This Mission is 100 % funded by Gift of Life Foundation , Paramus Rotary Club district 7490
  • Valley Hospital and Health care system, Ridgewood NJ, supplies and support of professionals to participate.
  • Medtronic
  • Abbott
  • Edwards Lifesciences Foundation
  • Toray  ( PTMC balloons )
  • LSI. Solutions (COR- KNOT)