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The improvement of care for paediatric and congenital cardiac disease across the World: a challenge for the World Society for Pediatric and Congenital Heart Surgery

Published online by Cambridge University Press:  01 December 2008

Christo I. Tchervenkov*
Affiliation:
Division of Pediatric Cardiovascular Surgery, The Montreal Children’s Hospital of the McGill University Health Centre, Montréal, Quebec, Canada
Jeffrey Phillip Jacobs
Affiliation:
The Congenital Heart Institute of Florida (CHIF), Division of Thoracic and Cardiovascular Surgery, All Children’s Hospital and Children’s Hospital of Tampa, University of South Florida College of Medicine, Cardiac Surgical Associates (CSA), Saint Petersburg and Tampa, Florida, United States of America
Pierre-Luc Bernier
Affiliation:
Division of Pediatric Cardiovascular Surgery, The Montreal Children’s Hospital of the McGill University Health Centre, Montréal, Quebec, Canada
Giovanni Stellin
Affiliation:
Pediatric Cardiac Surgery Unit, University of Padova Medical School, Padova, Italy
Hiromi Kurosawa
Affiliation:
Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women’s Medical University, Tokyo, Japan
Constantine Mavroudis
Affiliation:
Department of Surgery, Division of Cardiovascular-Thoracic Surgery, Northwestern University Medical School, Children’s Memorial Hospital, Chicago, IL, United States of America
Richard A. Jonas
Affiliation:
Department of Cardiac Surgery, Children’s National Heart Institute, Children’s National Medical Center, Washington, DC, United States of America
Sertac M. Cicek
Affiliation:
Dr. Siyami Ersek Thoracic and Cardiovascular Surgery Center, Istanbul, Turkey
Zohair Al-Halees
Affiliation:
King Faisal Heart Institute, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
Martin J. Elliott
Affiliation:
Cardiothoracic Surgery, Hospital for Sick Children, Great Ormond Street, London, United Kingdom
Marcelo B. Jatene
Affiliation:
Department of Pediatric Cardiac Surgery and Pediatric Cardiology, Heart Institute, University of São Paulo Medical School, SP, São Paulo, Brazil
Robin H. Kinsley
Affiliation:
Department of Cardiac Surgery, Walter Sisulu Pediatric Cardiac Center for Africa, Netcare Sunninghill Hospital, Johannesburg, South Africa
Christian Kreutzer
Affiliation:
Division of Cardiac Surgery, Hospital de Niños Ricardo Gutierrez, Buenos Aires, Argentina
Juan Leon-Wyss
Affiliation:
Department of Pediatric Cardiac Surgery of Guatemala, UNICAR, Guatemala City, CA, Guatemala
Jinfen Liu
Affiliation:
Department of Pediatric Thoracic and Cardiovascular Surgery, Xinhua Hospital, Shanghai Children’s Medical Center, Shanghai Second Medical University, Shanghai, China
Bohdan Maruszewski
Affiliation:
Cardiac Surgery, Memorial Hospital Child’s Health Centre, Warsaw, Poland
Graham R. Nunn
Affiliation:
The Children’s Hospital at Westmead, Westmead, NSW, Sydney, Australia
Samuel Ramirez-Marroquin
Affiliation:
Department of Cardiac Surgery, Instituto Nacional de Cardiología Ignacio Chavez, Mexico City, Mexico
Nestor Sandoval
Affiliation:
Department of Cardiac Surgery, Fundacion Abood Shaio, Bogotá, Colombia
Shunji Sano
Affiliation:
Department of Cardiovascular Surgery, Okayama University Hospital, Okayama, Japan
George E. Sarris
Affiliation:
Department of Pediatric and Congenital Heart Surgery, Onassis Cardiac Surgery Centre, Athens, Greece
Rajesh Sharma
Affiliation:
Escorts Heart Institute and Research Center, New Delhi, India
Ayman Shoeb
Affiliation:
Cardiac Surgery, Ain-Shams University, Cairo, Egypt
Thomas L. Spray
Affiliation:
The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, United States of America
Ross M. Ungerleider
Affiliation:
Doernbecher Children’s Hospital, Oregon Health Sciences University, Portland, Oregon, United States ofAmerica
Hervé Yangni-Angate
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Bouake Teaching Hospital, Abidjan, Ivory-Coast, Africa
Gerhard Ziemer
Affiliation:
Department of Thoracic, Cardiac and Vascular Surgery, University of Tubingen, Germany
*
Correspondence to: Christo I. Tchervenkov, MD, Professor of Surgery, McGill University, Director, Cardiovascular Surgery, The Montreal Children’s Hospital, 2300, Tupper Street, Room C-829, Montreal, P.Q., Canada, H3H 1P3. Tel: (514) 412-4400, ext. 22394; Fax: (514) 412-4330; E-mail: christo.tchervenkov@muhc.mcgill.ca

Abstract

The diagnosis and treatment for paediatric and congenital cardiac disease has undergone remarkable progress over the last 60 years. Unfortunately, this progress has been largely limited to the developed world. Yet every year approximately 90% of the more than 1,000,000 children who are born with congenital cardiac disease across the world receive either suboptimal care or are totally denied care.

While in the developed world the focus has changed from an effort to decrease post-operative mortality to now improving quality of life and decreasing morbidity, which is the focus of this Supplement, the rest of the world still needs to develop basic access to congenital cardiac care. The World Society for Pediatric and Congenital Heart Surgery [http://www.wspchs.org/] was established in 2006. The Vision of the World Society is that every child born anywhere in the world with a congenital heart defect should have access to appropriate medical and surgical care. The Mission of the World Society is to promote the highest quality comprehensive care to all patients with pediatric and/or congenital heart disease, from the fetus to the adult, regardless of the patient’s economic means, with emphasis on excellence in education, research and community service.

We present in this article an overview of the epidemiology of congenital cardiac disease, the current and future challenges to improve care in the developed and developing world, the impact of the globalization of cardiac surgery, and the role that the World Society should play. The World Society for Pediatric and Congenital Heart Surgery is in a unique position to influence and truly improve the global care of children and adults with congenital cardiac disease throughout the world [http://www.wspchs.org/].

Type
Original Article
Copyright
Copyright © Cambridge University Press 2008

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