Our international surgical center for children, the IOCCA (International Operation Centre for Children in Asmara), has existed in the capital Asmara since 2002. It was designed by Dr. Andreas Urban, the former director of the German Pediatric Heart Center in Sankt Augustin. Today, ARCHEMED’s IOCCA is the site of all pediatric surgical activities in Eritrea, including heart surgery.
Congenital heart defects are the most common organic malformations in children worldwide. One percent of all newborns are affected. Without treatment, 70 out of 100 of these children die within the first three years of life. The other 30 die later from the consequences of their heart disease, often after a long period of infirmity. In Eritrea, there is no cardiac surgery; here, all affected children die.
Congenital heart defects are the most common organic malformations in children worldwide.
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Specialized pediatric heart surgery did not exist in Eritrea. We have changed this: under the umbrella of ARCHEMED, two cardiac surgery teams from Italy currently operate on congenital and acquired heart defects in Eritrean children. Up to 100 patients undergo successful heart surgery every year. The survival rate of over 98% is comparable to those of the best heart centers worldwide. To ensure the success of these life-saving operations, preoperative diagnostics, special anesthesia and perfusion techniques, suitable surgical strategies, and professional postoperative follow-up care—often involving mechanical ventilation—are mandatory. Therefore, the pediatric heart surgery mission includes a large number of staff: pediatric cardiologists, cardiac surgeons, OR and anesthesia staff, anesthesiologists and intensive care physicians, nurses, and technicians.
Eritrean specialist staff are always involved in the cardiac surgery processes, trained by us in cardiac diagnostics, surgical techniques, and intensive care. The convalescence of the children, who are often only a few weeks old, is remarkably short: infants are often breastfed by their mothers just a few hours after the procedure.
Project Management
Prof. Giovanni Stellin, Cardiac Surgeon, Padua (I)
Dr. Bruno Murzi, Cardiac Surgeon, Massa (I)