Cardiac Surgery Intersociety Alliance, Chicago, IL, USA.
Eur J Cardiothorac Surg. 2021 Jun 14;59(6):1139-1143. doi: 10.1093/ejcts/ezab145.
Rheumatic heart disease (RHD) affects >33 000 000 individuals, mostly from low- and middle-income countries. The Cape Town Declaration on Access to Cardiac Surgery in the Developing World was published in August 2018, signalling the commitment of the global cardiac surgery and cardiology communities to improving care for patients with RHD.
As the Cape Town Declaration formed the basis for which the Cardiac Surgery Intersociety Alliance (CSIA) was formed, the purpose of this article is to describe the history of the CSIA, its formation, ongoing activities and future directions, including the announcement of selected pilot sites.
The CSIA is an international alliance consisting of representatives from major cardiothoracic surgical societies and the World Heart Federation. Activities have included meetings at annual conferences, exhibit hall participation for advertisement and recruitment and publication of selection criteria for cardiac surgery centres to apply for CSIA support. Criteria focused on local operating capacity, local championing, governmental and facility support, appropriate identification of a specific gap in care and desire to engage in future research. Eleven applications were received for which 3 finalist sites were selected and site visits conducted. The 2 selected sites were Hospital Central Maputo (Mozambique) and King Faisal Hospital Kigali (Rwanda).
Substantial progress has been made since the passing of the Cape Town Declaration and the formation of the CSIA, but ongoing efforts with collaboration of all committed parties-cardiac surgery, cardiology, industry and government-will be necessary to improve access to life-saving cardiac surgery for patients with RHD.
风湿性心脏病（RHD）影响了超过 3300 万人，其中大多数来自中低收入国家。2018 年 8 月发布了《开普敦宣言：发展中国家获取心脏手术机会》，标志着全球心脏外科学和心脏病学社区致力于改善 RHD 患者的护理。
由于《开普敦宣言》构成了成立心脏外科学协会联盟（CSIA）的基础，本文旨在描述 CSIA 的历史、成立过程、正在进行的活动和未来方向，包括宣布选定的试点地点。
CSIA 是一个由主要心胸外科学会和世界心脏联盟代表组成的国际联盟。其活动包括在年会上召开会议、在展览厅进行广告宣传和招募、以及发布心脏手术中心申请 CSIA 支持的选择标准。标准侧重于当地手术能力、当地拥护者、政府和设施支持、适当确定特定护理差距以及参与未来研究的愿望。共收到 11 份申请，其中 3 个最终入围地点被选中并进行了现场考察。选定的 2 个地点是莫桑比克的马普托中央医院和卢旺达的基加利国王费萨尔医院。
自《开普敦宣言》通过和 CSIA 成立以来，已经取得了重大进展，但需要所有承诺方——心脏外科学、心脏病学、工业和政府——合作，持续努力，以改善 RHD 患者获得挽救生命的心脏手术的机会。
