This mission was CardioStart’s 5th adult cardiac surgery mission to Clinica Corozonas Unidos, in Santo Domingo. HeartCare Dominicana, Inc. facilitated the team’ presence during the week and arranged for patients to be seen for this humanitarian surgical program. Several complex valve repairs/replacements were performed with intensive involvement with the local team. Unique to this hospital, two Off Pump Coronary Artery Bypass cases were done. One Atrial Septal Defect repair was carried out using an Amplatz device. All cases were successful.
|Beatriz Del Rosario Polanco||62||Coronary Artery Bypass X3 off pump||Satisfactory|
|Carlos Caruci Rodriguez||40||Mitral Valve Repair||Satisfactory|
|Julio Casar Abreu||65||Coronary Artery Bypass x3 off pump||Satisfactory|
|Fernado Hernandez||40||Mitral and Aortic valve replacements
|Eridania Mata Alvarado||49||Redo Mitral Valve Replacement||Satisfactory|
|Ramon Emilio Guzman||20||Redo aortic Valve Replacement-||Satisfactory|
|Bernarda Jacquez||49||Atrial Septal Defect Amplatz device||Satisfactory|
|Elpidio Eufrasia Veras||80||Aortic Valve Replacement||Satisfactory|
|Filomena Santos Rojas||65||Defibrillator Implantation||Satisfactory|
|Nestor Batista||41||Generator change||Satisfactory|
|Luis Emelio Sarante De Los S.||26||Defibrillator Implantation||Satisfactory|
|Orianna Ortiz||41||Defibrillator Implantation||Satisfactory|
A cardiology clinic was held in Constanza, Dominican Republic. This community is a 2-hour drive inland from Santa Domingo. Patients were lined up 2-hours before the team was to arrive.
In two days, two medical providers, an echo tech and medical student translators evaluated and treated 162 patients for medical conditions with a primary focus on cardiac disorders.
Referrals: Five patients needing cardiac surgery were discovered and referred for surgical intervention. Thirty-one echocardiograms were indicated and performed. Collaborative care was provided in all areas.
COLLABORATION & TEACHING
On every CardioStart mission, education of local practitioners is priority.
This emphasis continued in the OR and ICU. Bedside teaching during collaborative care took place throughout the mission. Protocols and order sets were reviewed with local staff as they provide ongoing care.
After 5 years of missions to this Hospital, CardioStart in conjunction with local staff has done over 40 surgical procedures on adults and children. CardioStart Cardiologist Tom Cocke, echo tech Tracy Ferreira and research collator Tyler Thorne saw 40 patients for physical exam and follow-up echocardiograms. Three patients will be referred for further assessment. This follow up is very important to the research database CardioStart carries out in each country.
It not only documents care provided but also quality of life and survival after cardiac surgery in a developing country. We are thankful for these patients for taking the time to come to the city for evaluation.
|Mariano Brizzio, MD||Adult CV Surgeon||Mission Director||New Jersey, USA|
|Charles Grima, CCP||Perfusion||Perfusionist||Malta|
|Jeff Levine, MD||Adult CV Anesthesia||Anesthesiologist||New Jersey, USA|
|Yvonne Lai, MD||Anesthesiology/Intensive Care||Intensivist||Boston MA, USA|
|Alicia Smith, RN||Operating Room Nurse||Scrub Nurse||New Jersey, USA|
|Elaine Kletsman, PA||Physician Assistant||Physician Assistant||New Jersey, USA|
|Tom Cocke, MD||Interventional Cardiology||Interventional Cardiologist||New Jersey, USA|
|Nazeli Leake, RN||Adult CV ICU Nurse||Charge Nurse||New Jersey, USA|
|Mary Gregory, RN||Adult CV ICU Nurse||Adult CV ICU Nurse||New Jersey, USA|
|Erin Acker, RN||Adult CV ICU Nurse||Adult CV ICU Nurse||New Jersey, USA|
|Leah Silver, RN||Adult CV ICU Nurse||Adult CV ICU Nurse||Seattle WA, USA|
|Tracy Ferreira, RDCS||Echocardiologist||Echocardiologist||New Jersey, USA|
|Tyler Thorne||Medical Student||Database researcher||Hawaii, USA|
|Janine Henson, RN||Adult CV ICU Nurse & VP CardioStart||Mission Coordinator||Minnesota USA|
CardioStart gratefully acknowledges the contributions of the following:
- Valley Hospital, Ridgewood New Jersey USA.
- St. Jude Medical Minneapolis, MN USA.
- Heartcare Dominicana Inc. Santo Domingo, Dominican Republic
- Clinica Corazones Unidos, Santo Domingo.
- Amy Lauth Foundation, Georgia, USA (Logistics and suitcase donation items).
- Medtronic USA, Minneapolis, MN, USA.
- Essential Pharma, Inc, USA.
- Eugene Southtowne Rotary Club, Oregon, USA (Equipment donations & Logistics – Matt and Amanda Adams & colleagues)
- United Methodist Church, Lake Oswego, OR, USA) (Patient heart pillow gifts)
- Maxine Rodgers- Hygiene Care Kits for patients, Chico, CA, USA.