Article Text

Download PDFPDF
Paediatric cardiac surgery in low-income and middle-income countries: a continuing challenge
  1. Nguyenvu Nguyen1,2,
  2. Juan Leon-Wyss3,
  3. Krishna S Iyer4,
  4. A Thomas Pezzella5
  1. 1Division of Cardiology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA
  2. 2Division of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA
  3. 3CEDIMET, Santo Domingo, Dominican Republic
  4. 4Pediatric & Congenital Heart Surgery, Fortis—Escorts Heart Institute, New Delhi, India
  5. 5International Children's Heart Fund, Worcester, Massachusetts, USA
  1. Correspondence to Dr Nguyenvu Nguyen, Division of Cardiology, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E. Chicago Avenue, Box 21, Chicago, IL 60611, USA; everestkath{at}


Despite advances in surgical and catheter-based treatment for congenital heart disease (CHD), there remain wide disparities across the globe. Ongoing international humanitarian and in-country programmes are working to address these issues with the ultimate goal to increase the quality and quantity of paediatric cardiac care, particularly in under-served regions of the world. This review aims to illustrate the reasons for these inequalities and suggests novel ways of improving access and sustainability of CHD programmes in low-income and middle-income countries.

  • Cardiac Surgery
  • Health Service
  • Global Health

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.