Publication: Early Experience of Cardiac Surgery in the Maldives
| creativeworkseries.issn | ISSN (Print) : 1993-2979 | ISSN (Online) : 1993-2987 | |
| dc.contributor.author | Sapkota, Ranjan | |
| dc.contributor.author | Shafiu, Mohamed | |
| dc.contributor.author | Razzag, Dusooma A | |
| dc.contributor.author | Patil, Priyanka B | |
| dc.contributor.author | Sadoon, Haytham M Y | |
| dc.contributor.author | Abouhabiba, Karim M | |
| dc.contributor.author | Vivehananthan, Sivaranjani P | |
| dc.contributor.author | Shinde, Dipti S | |
| dc.contributor.author | Moosa, Mohamed F | |
| dc.contributor.author | Sattar, Fathmath A A | |
| dc.contributor.author | Gautam, Mani P | |
| dc.contributor.author | Bhadauria, Prateek S | |
| dc.date.accessioned | 2026-04-07T09:09:01Z | |
| dc.date.available | 2026-04-07T09:09:01Z | |
| dc.date.issued | 2019 | |
| dc.description | 1Ranjan Sapkota, 1Mohamed Shafiu, 2Dusooma A Razzag, 1Priyanka B Patil, 1Haytham M Y Sadoon, 1Karim M Abouhabiba, 1Sivaranjani P Vivehananthan, 1Dipti S Shinde, 1Mohamed F Moosa, 2Fathmath A A Sattar, 3Mani P Gautam, 3Prateek S Bhadauria, 4Ali Shafeeq 1Department of Cardio-Thoracic and Vascular Surgery, ADK Hospital School of Health Sciences, Male’ Maldives 2Department of Anesthesiology, ADK Hospital School of Health Sciences, Male’ Maldives 3Department of Cardiology, ADK Hospital School of Health Sciences, Male’ Maldives 4Department of Cardiology, Indira Gandhi Memorial Hospital, Male’ Maldives | |
| dc.description.abstract | ABSTRACT Introduction From stitching a heart wound to the current level of sophistication, cardiac surgery has come a long way as a discipline. Heart surgery in South Asia has advanced tremendously; both, quantitatively and qualitatively. This is a report of the first fifteen surgeries done in the Maldives where cardiac surgery has started as an organized program. Methods Data on the first fifteen consecutive cardiac surgeries done in our hospital, over a period of 7 months, was analyzed. We briefly describe our usual perioperative management, and the pretext of the beginning of the cardiac surgery program. Results Fifteen patients, 13 males, aged 59.9±13.8 years, with a EuroScore of 0.9±0.4%, were operated. Eleven underwent CABG; and four had a valve replacement. Nine out of 11 had TVD, including 6 who had an LMCA disease. The first surgery was an off-pump CABG. The CABG group had a total of 2-5 grafts. Pump and cross-clamp times were 239.6 (± 56.1) min and 154.2 (± 45) min respectively. Five (33.3%) had at least one non-fatal complication. Two (13.2%) required re-exploration for mediastinal bleeding. The length of hospital stay was 16.5 days (±6.9 days). The chest tubes stayed for an average of 4.8 (±0.7) days. There was no in-hospital, 30-day and 90-day mortality recorded. Conclusion Cardiac surgery has begun in the Maldives. It is safe and feasible to sustain cardiac surgery program in the country, provided continued national support and international collaboration is ensured. Keywords: Cardiac surgery; coronary artery bypass; Maldives; valve replacement | |
| dc.identifier | https://doi.org/10.59779/jiomnepal.1024 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/5697 | |
| dc.language.iso | en_US | |
| dc.publisher | Institute of Medicine | |
| dc.subject | Cardiac surgery | |
| dc.subject | coronary artery bypass | |
| dc.subject | Maldives | |
| dc.subject | valve replacement | |
| dc.title | Early Experience of Cardiac Surgery in the Maldives | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Original Article | |
| oaire.citation.endPage | 66 | |
| oaire.citation.startPage | 52 | |
| relation.isJournalIssueOfPublication | f8b226a3-5ec6-494c-9a5e-17eb5249fda5 | |
| relation.isJournalIssueOfPublication.latestForDiscovery | f8b226a3-5ec6-494c-9a5e-17eb5249fda5 | |
| relation.isJournalOfPublication | a9ba45d9-ee33-4a6b-b1fc-6626b87eec6c |