Abstract
Carolinas HealthCare System, Carolinas Medical Center, 1000 Blythe Boulevard, Charlotte, NC 28203, USA Unidad de Cirugia Cardiovascular de Guatemala (UNICAR), 9A Avenida 8, Guatemala City, Guatemala 01011, Guatemala The Heineman Foundation of Charlotte, 1001 Blythe Blvd #604, Charlotte, NC 28203, USA *Author for correspondence: francis.robicsek@carolinashealthcare.org Background In the seven countries of the Central-American subcontinent, cardiovascular disease is rampant, especially rheumatic heart valve disease. Cardiac care, especially access to cardiac surgical facilities, is limited to the public. Even today, in most of Central America, with the notable exception of Costa Rica, one may see only a few occasional cases of cardiac procedures performed by fledgling surgical programs or by visiting ‘brigades’ from the USA and Europe. Although they do good, they leave very little behind.
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