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Heart surgeons scale new heights

Sifelani Tsiko

Innovations Editor

Cardiac specialists at Parirenyatwa Group of Hospitals in Harare have so far managed to conduct 40 open heart surgeries this year as the team seeks to meet a target of 60 operations this year.

Veteran cardiovascular and thoracic surgeon, Dr Wilfred Muteweye, told The Herald that his team had gained more ground in its quest to realise its 2024 target of 60 patients.

โ€œWe are pleased to announce that our open-heart surgery programme continues to make significant strides. To date, we have successfully performed surgeries on 40 patients,โ€ he said.

โ€œTwo weeks ago, we operated on our oldest patient to date, a 65-year-old woman diagnosed with a large heart tumour known as atrial myxoma. We are delighted to report that she is recovering well and is now recuperating at home.โ€

An atrial myxoma is a tumour which grows in the left upper chamber of the heart called the atrium.

โ€œAs it grows, it can fill the space where blood is supposed to gather. It also blocks the heart valve (mitral valve), thus reducing the blood output from the heart. In addition, the myxoma can break into small pieces and if these pieces travel to the brain, they can cause strokes.

โ€œIf they travel to the legs or hands, they can cause gangrene and may result in someone getting an amputation,โ€ Dr Muteweye said.

The country resumed open-heart surgeries at Parirenyatwa Group of Hospitals last year in June after the service was stopped in 2018.

Zimbabwean cardiac specialists are targeting to perform 60 free open-heart surgeries this year as they scale up efforts to reduce the backlog of people needing treatment.

Last year, the team conducted 22 open-heart surgeries. Out of these, three patients died while 19 recovered well.

A team of Egyptian cardiac specialists is in the country to join the team to mark the Paediatric Heart Surgery Week in Zimbabwe.

โ€œThis week we have a Paediatric Heart Surgery Week, focusing on operating on children with congenital heart defects. A specialised team from Egypt arrived on Friday for a special joint surgical camp in Zimbabwe,โ€ Dr Muteweye said.

โ€œYesterday (November 11) our open heart surgery team together with the Egyptians operated on two children, a two-year-old and a three-year-old, who both had complex holes in their hearts. Both patients are doing well and are no longer on life support. Our goal is to perform surgeries on 10 children throughout the week.โ€

Dr Muteweye said collaborations in the medical field could help provide comprehensive care to patients and lead to better patient outcomes and more efficient healthcare delivery.

โ€œThis surgical camp marks a significant milestone, as it is the first instance of collaborating with an external team since the resumption of cardiac surgery in Zimbabwe. The participation of the Egyptian specialists represents a valuable Africa-to-Africa technical interaction. We look forward to a fruitful exchange, hoping to learn and benefit from their expertise and skills transfer.โ€

Two international organisations, the Rotary Club and The Gift of Life โ€˜supported the surgical camp. The National Oil and Infrastructure Company of Zimbabwe is also a major funding partner for the countryโ€™s open heart surgery programme.

Before the resumption of the openโ€“heart operations in Zimbabwe, patients in need of open-heart surgery had to fork out huge sums of money to seek treatment in South Africa, India, Kenya, Italy, Sudan and other countries.

A heart operation in India costs anything between US$8 000 to US$15 000, depending on the complexity of the case. The surgeries being conducted in Zimbabwe are done free of charge.

The country has between 500 and 600 adult patients with rheumatic heart disease awaiting surgery, while every year about 4 000 children are born with congenital heart deformities that need open-heart surgery.

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