{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:07:58Z","timestamp":1777878478992,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T00:00:00Z","timestamp":1504224000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Definitive surgical interventions for Dominican children with congenital heart disease, like those of other low- and middle-income countries, have been historically limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We undertook review of a case series focusing on the surgical correction of complex forms of tetralogy of Fallot at a single center, CEDIMAT Centro Cardiovascular, in the Dominican Republic, over a 30-month period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>According to our criteria, 43 cases were determined to be complex tetralogy of Fallot repairs from the two-year period. Besides tetralogy of Fallot, the cohort had an additional 55 anatomic anomalies that had to be addressed at the time of surgery. Median age at the time of surgery was notably 30 months, and an average of 42 months elapsed from the time of diagnosis to the time of surgery for this group. Only 33% of the cases reviewed had no hypercyanotic crises before repair. Median time to extubation for this group of patients was one day, with a three-day median length of stay in the intensive care setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our study importantly captures the present experience of a surgical congenital heart program that has recently transitioned from a traditional \u201cmission model\u201d to a now self-sustaining local practice. Both the number and the complexity of the lesions corrected in this caseload represent an advance from the level of care previously provided to children in the Dominican Republic.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2150135117727257","type":"journal-article","created":{"date-parts":[[2017,9,13]],"date-time":"2017-09-13T05:52:14Z","timestamp":1505281934000},"page":"584-589","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Progress in the Management of Tetralogy of Fallot in the Dominican Republic: A Case Series"],"prefix":"10.1177","volume":"8","author":[{"given":"Mar\u00eda T.","family":"Perez","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Yale New Haven Hospital, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marietta","family":"V\u00e1zquez","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yale New Haven Hospital, New Haven, CT, USA"},{"name":"Yale University School of Medicine, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael F.","family":"Canarie","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Yale New Haven Hospital, New Haven, CT, USA"},{"name":"Yale University School of Medicine, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janet","family":"Toribio","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, CEDIMAT Centro Cardiovascular, Santo Domingo, Republica Dominicana"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Le\u00f3n-Wyss","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, CEDIMAT Centro Cardiovascular, Santo Domingo, Republica Dominicana"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,9,13]]},"reference":[{"key":"bibr1-2150135117727257","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2015-308173"},{"key":"bibr2-2150135117727257","doi-asserted-by":"publisher","DOI":"10.1177\/2150135113514458"},{"key":"bibr3-2150135117727257","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951108002801"},{"key":"bibr4-2150135117727257","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.726265"},{"key":"bibr5-2150135117727257","doi-asserted-by":"publisher","DOI":"10.1177\/2150135116648309"},{"key":"bibr6-2150135117727257","doi-asserted-by":"publisher","DOI":"10.5830\/CVJA-2013-028"},{"key":"bibr7-2150135117727257","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)01886-7"},{"key":"bibr8-2150135117727257","unstructured":"Heart Care Dominicana Inc: Programs\n                      . 2017. http:\/\/www.heartcaredr.org\/. 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