Aortic Surgery in Developing Countries: The Role of Private Hospitals

P0052 

Case Video Submission 

Maulidya Ayudika Dandanah (1), Dicky Aligheri Wartono (2), Budhi Adhiwidjaja (3)

(1) Siloam Lippo Village, UPN Medical Faculty, Jakarta, Indonesia, (2) Siloam Lippo Village, Harapan Kita National Cardiovascular Center, Jakarta, Indonesia, (3) Siloam Lippo Village, Jakarta, Indonesia

Maulidya Ayudika Dandanah    -  Contact Me
Siloam Lippo Village, UPN Medical Faculty

dicky a wartono    -  Contact Me
Siloam Lippo Village, Harapan Kita National Cardiovascular Center

Budhi Adhiwidjaja    -  Contact Me
Siloam Lippo Village

Maulidya Ayudika Dandanah    -  Contact Me
N/A

Objective
Aortic surgery is a complex and critical procedure that requires specialized skills, advanced technology, and a well-equipped healthcare system. While developed countries have established centers of excellence for aortic surgery, the situation is different in developing countries. Limited resources, inadequate infrastructure, and a lack of trained professionals pose significant challenges in providing high-quality aortic surgery. However, private hospitals in developing countries can play a crucial role in bridging this gap and improving access to aortic surgery for patients in need.

Case Video Summary
In almost 2 years, we have dealt with a total of 15 cases of aortic disease, undergoing aortic surgery and endovascular procedures. We collaborate with our cardiologist and emergency department to diagnose the aortic disease. With the support of our radiologists and their imaging technology, we can identify cases like aortic aneurysms, aortic dissection type A and B, penetrating aortic ulcer, intramural hematoma, and pericardial effusion with acute aortic dissection. Our team tried to give the best they could to perform aortic surgery even though they lacked knowledge at the beginning but after a lot of discussion and learning together we became a solid team. We have performed 12 cases of aortic surgery, including Bentall procedure, total arch replacement, hemiarch replacement, root sparing, and ascending replacement. The remaining 3 cases undergoing endovascular procedure was aortic aneurysm and aortic dissection type B with symptom.


Conclusion
Aortic surgery in developing countries faces significant challenges, but private hospitals can play a crucial role in overcoming these obstacles. By investing in infrastructure, attracting skilled professionals, forming collaborations, and improving access and affordability, private hospitals can contribute to the development of aortic surgery services. Through these efforts, patients in developing countries can receive timely and high-quality care, reducing morbidity and mortality rates associated with aortic conditions. It is imperative that governments, healthcare organizations, and international stakeholders recognize the potential of private hospitals and work together to strengthen aortic surgery services in developing countries.

Other - Aortic surgery in developing country