100% survival: a cardiac surgery centre experience inTrinidad and Tobago

ABSTRACT

OBJECTIVE: To report the 2012 results of a cardiac surgerycentre in Trinidad and Tobago. METHODS: Data was reviewed on 245 consecutive patients who underwent cardiac surgery in 2012 at Eric Williams MedicalScience Complex (E.W.M.S.C) Mount Hope, Trinidad. RESULTS: Mean patient age was 58.5 ±9.5 years; 147 patients(60%) were male and the mean calculated EUROSCORE IIwas 1.7. Coronary artery bypass surgery was the most commonprocedure, performed on 190 patients, 98% were done on the beating heart and 3.15% (6 patients) were redo-CABG. Thirteen patients (5.3%) underwent CABG plus other procedures, 9patients (3.7%) had aortic valve replacement, 21 patients (8.6%)had mitral valve repair/replacement, 2 patients (0.8%) had double valve replacement and 10 patients (4.1%) a variety ofother procedures including atrial or ventricular septal defect closure, fibro-elastoma removal, type A Aortic dissection.The operative mortality in the study period was 0%, and at 6months follow-up all patients were alive. CONCLUSION: Excellent results similar to the best institutions in the world can be obtained even in a medium volume centre in a developing country.