You may click the flag for further
information about the Dominican Republic
In 1996 following a visit to the Dominican Republic a relationship developed with Corazones Unidos. This is a humanitarian program for indigent children and young adults founded by Dr. Luis Cuello Mainardi, a dedicated and caring Dominican cardiologist. This Program has sponsored Dominican Patients going to the United States for free operations and care. The open -heart program at Corazones Unidos in Santo Domingo has grown slowly and progressively to over 200 patients per year, including both private and non-paying patients. Over the past 13 years the ICHF has worked with Corazones Unidos, initally performing operations at UMASS Medical Center and Saint Vincent's Hospital in Worcester, MA. For the past four years the focus has been working with the cardiac surgeons at Corazones Unidos to introduce new techniques in cardiac surgery, as well as augmenting operating room equipment and supplies
In January, 2002 Dr. Yvon Baribeau (Pictured Center Below) from Catholic Medical Center in Manchester, NH, helped the local cardiac surgical team perform the first off pump (OPCAB) operation in the Dominican Republic. Future projects include innovative techniques, as well as support to build and equip a second operating room for cardiac surgery at Corazones Unidos.
In March of 2003, William Northrup, MD and the
Cardiac Surgery Team (pictured below)
performed the first Two Cryolife Aortic valve Homografts on two Dominican patients at Corazones Unidos.
Dr Northrup again returned in March 2005 to introduce advanced mitral valve repair techniques.
Additional trips to Corazonas Unidos and
took place in
Nov 2003, May 2004, Dec 2004, Dec 2006, Dec 2008, and Dec 2010.
Continuing upgrade of surgical skills has been the focus.
The support of a second operating room continues with additional equipment.
Current Project - Pediatric Cardiac Care
(prepared by International Hospital for Children)
The Dominican Republic is a Spanish speaking country of over nine million people in the upper Caribbean basin. Cardiovascular disease remains the number one cause of death, with stroke and myocardial infarction the primary causes. Additionally the incidence of congenital heart disease is estimated at 5-8/ 1000 live births This amounts to 1500-2000 cases per year. Rheumatic heart disease continues to plague the country, especially in the pediatric age group.
At present there are three units routinely performing open-heart surgery in Santo Domingo, the capital. These are primarily adult procedures. The total number of operations including those done by humanitarian NGO groups from abroad is less than 400 operations a year. Approximately 30-40 children go abroad, primarily to the USA for free or discounted evaluation and surgery. Another 200-300 adult patients are treated abroad, mostly CABG, in Miami, New York, and Cleveland. These are either insurance covered or private pay patients.
As the economic and political situation improves more adults will have access to open-heart surgery. However, the pediatric patients will require government or private funding, since the insurance coverage plans are beyond the means of the lower income section.
Over the past decade several strategies have been developed to extend cardiac surgery to this pediatric population:
International Hospital for Children (the lead affiliate), Caribbean Heart Menders, CardioStart, Rotary Gift of Life, and the Aldo Castaneda Foundation are the initial USA based NGO's involved. A separate initiative with International Children's Heart Foundation is ongoing in Santiago, DR. It is hoped that the coordinated and organized approach of these organizations will facilitate and accelerate the ultimate objective of a hub for pediatric cardiac care in the upper Caribbean basin. Subsequently, other humanitarian organizations, both USA and foreign based, with interest in the upper Caribbean basin, will be encouraged and invited to join in this collaborative effort
Simply stated, this effort will hopefully achieve the major goal of the creation of a center that will encompass a product line of pediatric cardiac care-prevention, promotion, diagnosis, treatment, and rehabilitation. Within three to five years the host program will hopefully become independent and totally managed with domestic private and government fluids. This coalition will offer help and assistance in three major areas: limited financial finding, equipment/supplies, and clinical training/mentoring of selected local medical staff both in Dominican Republic and out of country locations (eg. Guatemala City, Guatemala).
Susan Rickman, President of International Hospital for
Children (IHC), on initial feasibility trip to Santo Domingo, DR
Working with the IHC cooperative program at Centimed
Hospital in Santo Domingo, DR, December 2006.
|IHC Cooperative Meeting Santiago, and Santo Domingo, July 2007|
In February 2009 a Somanetics NIRS monitor was
donated by the
Somanetics Corporation to the oprerating room at Corazonas Unidos.
In March 2010, further cooperation was made at Corazonas Unidos
to increase the quantity of cardiac surgery and develop a relationship with Haiti
No es el critico el que cuenta; no es el hombre que señala cuando el hombre fuerte tropieza, o cuando el que hace las proezas pudo haberlas hecho mejor. El crédito pertenece al hombre que esta actualmente en el campo, cuya cara esta manchada de polvo, sudor y sangre, que se esfuerza valientemente; quien comete errores y falla una y otra vez, porque no hay esfuerzo sin error y fallas; pero aquellos que realmente se esfuerzan para hacer las hazañas; los que conocen el gran entusiasmo, la gran devoción, quien se brinda a si mismo por una causa valiosa; quien mejor sabe que al final el triunfo es el mayor logro, y que en el peor, si falla, al menos falla teniendo un gran atrevimiento, así que su lugar nunca será con esas frías y tímidas almas quienes no conocieron la victoria ni la derrota.
In March, 2016 a consultant visit to CEDIMAT hospital at Plaza de la Salud in Santo Domingo, Dominican Republic was made. At present there a 7 hospitals performing heart surgery in the Dominican Republic with about 500 cases being done per year by < than 15 capable cardiac surgeons. Over 200 pediatric cardiac surgery operations are now being done at the CEDIMET center. Dr Juan Leon Wyss is the present chief of pediatric cardiac surgery at CEDIMET and has, along with his team, done a great job in increasing both the quantity and quality of pediatric cardiac surgery, especially in neonates and infants. A population of >10 million will require about 500 pediatric cardiac operations to meet the backlog and increasing number of neonates requiring surgery. Several USA based NGO’s have worked hard over the past 10 years, in a collaborate effort, to advance pediatric cardiac care that includes prevention, early diagnosis, and treatment, be it medical, interventional, or surgical. Ongoing education and training of all members of the cardiac health care team continues, along with increases in state of the art equipment, drugs, and devices. In addition, adult cardiac surgery continues to increase in the DM. DM will eventually become a major hub for advanced medical care in the Caribbean basin. Government insurance, private insurance, and donations, especially the David Ortez Foundation, have been extremely helpful in advancing access and treatment for pediatric cardiac care of the entire DM population.