Research Article

Open heart surgery in Nigerian children the need for international and regional collaboration: The Bayelsa and Enugu experience

Ujuanbi AS, Allagoa DO, Onwubere B, Chinawa JM* and Ujunwa FA

Published: 09 July, 2021 | Volume 6 - Issue 2 | Pages: 044-047

Background: Children with congenital heart diseases (CHD) often require palliative or definitive surgical heart interventions to restore cardiopulmonary function. Lack of early cardiac intervention contributes to large numbers of potentially preventable deaths and sufferings among children with such conditions.

Objectives: The aim of this study was to highlight our experience and the importance of international and regional collaboration for open heart surgery in children with CHD and capacity building of local cardiac teams in Bayelsa and Enugu States.

Methodology: In November 2016, a memorandum of understanding (MOU) was signed by the managements of FMC, Yenagoa, Bayelsa State, UNTH, Enugu and an Italian-based NGO- Pobic Open Heart International for collaboration in the area of free open heart surgery for children with CHDs and training of local cardiac teams from both institutions either in Nigeria or in Italy. Patients for the program were recruited from Bayelsa and Enugu States with referrals from all over the country with combined screening and selection done in UNTH. Selected patients were operated on and funded free of charge by the Italian NGO. Hands on training of the local cardiac teams and cardiac intervention was done twice yearly in Nigeria.

Result: From inception of the program in November, 2016 to May, 2019 a total of 47 children (21 Males, 26 Females; age range 6 months to 14 years) with various types of congenital heart defects had free open heart surgery from the program with 41 surgeries done in UNTH & 6 in Italy (complex pathologies). Also, home cardiac teams from UNTH and FMC, Yenagoa gained from on-site capacity training & retraining from the Italian cardiac team both in Nigeria and in Italy. The Success rate was 95.7% (44) and Case Fatality rate was 4.3% (2).

Conclusion: There is a great efficacy in early cardiac intervention. This is with respect to a high success rate and minimal Case Fatality seen in this study. This was achieved through Regional and international collaboration.

Read Full Article HTML DOI: 10.29328/journal.jccm.1001117 Cite this Article Read Full Article PDF


Open heart surgery; International; Regional collaboration; Experience; Bayelsa; Enugu


  1. Zimmerman MS, Smith AGC, Sable CA, GBD 2017 Congenital Heart Disease Collaborators. Global, regional and national burden of congenital heart disease, 1990-2017: a systematic analysis for the global burden of disease study 2017. Lancet. 2020; 4: 185-200. PubMed: https://pubmed.ncbi.nlm.nih.gov/31978374/
  2. Ekure EN, Okoromah CN. In‑hospital outcome of children referred for cardiac surgery abroad from a developing country. Niger J Paediatr. 2009; 36: 80‑
  3. Vervoort D, Meuris B, Meyns B, Verbrugghe P. Global cardiac surgery: Access to cardiac surgical care around the world. J Thorac Cardiovasc Surg. 2020; 159: 987-996. PubMed: https://pubmed.ncbi.nlm.nih.gov/31128897/
  4. Falase B, Sanusi M, Majekodunmi A, Ajose I, Idowu A, et al. The cost of open heart surgery in Nigeria. Pan Afr Med J. 2013; 14: 61. PubMed: https://pubmed.ncbi.nlm.nih.gov/23565308/
  5. Raj M, Paul M, Sudhakar et al. Microeconomic impact of congenital heart surgery: results of a prospective study from a limited –resource setting. PLoS One. 2015; 10: e0131348. PubMed: https://pubmed.ncbi.nlm.nih.gov/26110639/
  6. Omokhiodion SI, Adegboye VO, Ogunkunle OO. Treatment of structural heart disease through International collaboration: The Ibadan Experience. Niger J Cardiol. 2005; 1: 39‑
  7. Bode‑Thomas F. Overcoming challenges in the management of structural heart diseases in children. J Med Trop. 2011; 13: 3‑
  8. Sadoh WE, Nwaneri DU, Owubu AC. The cost of outpatient management of chronic heart failure in children with congenital heart diseases. Niger J Clinc Pract. 2011; 14: 65-69. PubMed: https://pubmed.ncbi.nlm.nih.gov/21493995/
  9. Reichert HA, Rath TE. Cardiac Surgery in Developing Countries. J Extra-Corpor Technol. 2017; 49: 098-106. PubMed: https://pubmed.ncbi.nlm.nih.gov/28638158/
  10. Chinawa JM, Eze JC, Obi I, Arodiwe I Ujunwa F Adiele DK Obu H. Synopsis of congenital heart disease among children attending University of Nigeria Teaching Hospital Ituku Ozalla. BMC Res Notes. 2013; 6: 475.
  11. Mocumbi AO. The challenges of cardiac surgery for African children. Cardiovasc J Afr. 2012; 23: 165-167. PubMed: https://pubmed.ncbi.nlm.nih.gov/22555641/
  12. Falase B, Sanusi M, Animasahun A, Mgbajah O, Majekodunmi A, et al. The challenges of cardiothoracic surgery practice in Nigeria: a 12 years institutional experience Cardiovasc Diagn Ther. 2016; 6: S27-S43. PubMed: https://pubmed.ncbi.nlm.nih.gov/27904842/
  13. Salami MA, Akinyemi OA, Adegboye VO. Early results of open heart surgery for acquired hear diseases in Ibadan, Nigeria. Niger J Cardiol. 2018; 15:14-19.

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