Our international operation centre for children, the IOCCA (International Operation Centre for Children in Asmara), has existed in the capital Asmara since 2002. It was conceived by Dr Andreas Urban, the former director of the German Children’s Heart Centre in Sankt Augustin. Today, ARCHEMED’s IOCCA is the centre for all paediatric surgical activities in Eritrea, including heart surgery.
Congenital heart defects are the most common organic malformations in children worldwide. One per cent of all newborns are affected. Without treatment, 70 out of 100 of these children die in the first three years of life. The other 30 die later as a result of their heart disease. Then death comes only after a long period of infirmity. There is no heart surgery in Eritrea; all affected children die here.
Congenital heart defects are the most common organic malformations in children worldwide.
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There was no special paediatric heart surgery in Eritrea. We have changed this: Under the umbrella of ARCHEMED, two cardiac surgery teams from Italy are currently operating on the congenital and acquired heart defects of Eritrean children. Up to 100 patients undergo successful heart surgery every year. The survival rate of over 98% is comparable to that of the best heart centres worldwide. Pre-operative diagnostics, special anaesthesia and perfusion techniques, suitable surgical strategies and professional post-operative treatment, often with artificial respiration, are essential for the success of life-saving operations. The paediatric cardiac surgery mission therefore involves a large number of staff: paediatric cardiologists, cardiac surgeons, operating theatre and anaesthesia staff, anaesthetists and intensive care doctors, nurses, carers and technicians.
Eritrean specialists, trained by us in cardiac diagnostics, surgical techniques and intensive care, are always involved in the cardiac surgery procedures. The convalescence of the children, who are often only a few weeks old, is extremely short: the infant is often breastfed by the mother just a few hours after the operation.
Project management
Prof Giovanni Stellin, cardiac surgeon, Padua (I)
Dr Bruno Murzi, cardiac surgeon, Massa (I)