Congenital Heart Surgery in a Developing Country A Few Men for a Great Challenge

摘要: The article by Larrazabal et al1 in this issue of Circulation can be analyzed from several points view. first is the humanitarian aspect involved decision Dr Aldo Castaneda to return Guatemala and start a program congenital heart surgery. After so many contributions surgery as chair Department Cardiovascular Surgery at Children’s Hospital Boston with all its available facilities, facing difficulties country tremendous social economic problems was an example persistence idealism. It also noteworthy that recognized human material support came United States. Furthermore, success project measured increasing number patients each period studied, decrease mortality, especially training personnel. This last well demonstrated case surgeons progressively replaced surgical procedure. Finally, it worth mentioning methodology validate improvement results risk adjustment comparison US standards. Article p 1882 Nevertheless, during study period, high percentage simpler cases older constant. next step …