Advances in Coronary Heart Disease Surgery in Latin America

Abstract

Background-The beginnings of coronary artery bypass graft in Latin America could be set in the year 1971. Since then, improvements in technique and greater experience have resulted in a rapid increase in the rate of interventions performed in the region. Methods and Results-Searches through PubMed and Literatura Latinoamericana y del Caribe en Ciencias de la Salud, as well as personal communications from specialists from Latin America, have been the source of information. Articles were selected by their content related to the theme, and the authors' nationality and information is mainly from Latin America. Demographic information of the population of Latin America denotes higher age averages, and this implies an increase in the severity of comorbidities in patients who undergo surgery. Longer life expectancy and improvements in medical therapy have implied that patients survive a first intervention beyond the expected time a bypass persists patent. Wall vessel properties of arterial conduits, plus a better anastomotic technique, seem to be the current solution to worsening in the coronary health of patients who undergo revascularization surgery in Latin America. Conclusions-Despite scarce economic investment in medical sciences, many academic groups contribute to the exploration of therapeutic pharmacological combinations and inclusively apply genetic strategies.

Retrospective Evaluation of Different Cardioplegic Solutions in Open Heart Surgery

“…Yapılan bir çalış-mada operatif riskin yaş olarak 80 yıl ve üzerinde daha fazla olduğu belirtilmiştir (22) . İleri yaşla birlikte fizyolojik rezervler azalmakta ve patolojik bulgular artmaktadır.…”

Coronary artery disease in Brazil: contemporary management and future perspectives

“…The development of CABG in Latin America and some of the contributions of Brazilian surgeons have been recently reviewed 49. In the early 1970s, few institutions performed open heart surgery, and these procedures were limited to centres in the southeast region.…”