Mocumbi Ana O H
Instituto do Coração, Maputo, Mozambique.
Cardiovasc J Afr. 2012 Apr;23(3):165-7. doi: 10.5830/CVJA-2012-013.
In Africa the specific pattern of cardiovascular diseases and lack of adequate measures for disease prevention and control result in the frequent need for open-heart surgery for the management of complications of cardiomyopathies in children. Several strategies and innovative ways of providing cardiovascular surgical care in African countries have been used, from agreements to send patients overseas, to programmes for the creation of local services to provide comprehensive care locally. This article attempts to outline the challenges faced by underdeveloped countries in Africa wanting to embark on programmes of cardiac surgery and the need for several sectors of society to play a role in the process. It discusses issues related to the establishment of centres performing cardiac surgery in Africa, describes the treatment of congenital heart disease, and reviews the aspects of management of conditions highly prevalent in or mostly confined to this continent, such as rheumatic heart valve disease and endomyocardial fibrosis.
在非洲，心血管疾病的特定模式以及缺乏足够的疾病预防和控制措施，导致经常需要进行心脏直视手术来治疗儿童心肌病的并发症。从达成将患者送往海外的协议，到创建本地服务以在当地提供全面护理的项目，非洲国家已经采用了多种提供心血管外科护理的策略和创新方法。本文试图概述非洲欠发达国家在开展心脏外科项目时面临的挑战，以及社会多个部门在这一过程中发挥作用的必要性。它讨论了与在非洲建立心脏外科中心相关的问题，描述了先天性心脏病的治疗，并回顾了在该大陆高度流行或主要局限于该大陆的疾病的管理方面，如风湿性心脏瓣膜病和心内膜心肌纤维化。
