{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:06:42Z","timestamp":1787317602308,"version":"build-2736575974"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T00:00:00Z","timestamp":1560384000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004905","name":"Frontiers Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004905","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"DOI":"10.3389\/fped.2019.00214","type":"journal-article","created":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T05:35:15Z","timestamp":1560404115000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":37,"title":["Pediatric Cardiac Surgery in Low-and Middle-Income Countries: Present Status and Need for a Paradigm Shift"],"prefix":"10.3389","volume":"7","author":[{"given":"John S. K.","family":"Murala","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom R.","family":"Karl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. Thomas","family":"Pezzella","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2019,6,13]]},"reference":[{"key":"B1","unstructured":"UNICEFdata"},{"key":"B2","unstructured":"UNDPdata"},{"key":"B3","unstructured":"2017"},{"key":"B4","first-page":"141","article-title":"The Global burden of congenital heart disease","volume-title":"Cardiovasc J Afr.","author":"Hoffman","year":"2013"},{"key":"B5","first-page":"18","article-title":"Children's heart disease in sub-Saharan Africa: challenging the burden of disease","volume-title":"J South Afr Heart Ass.","author":"Hewitson","year":"2010"},{"key":"B6","unstructured":"Bode-ThomasF"},{"key":"B7","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1016\/j.ijcard.2009.11.006","article-title":"Challenges on the management of congenital heart disease in developing countries","volume":"148","author":"Olga","year":"2011","journal-title":"Int J Card"},{"key":"B8","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1053\/j.pcsu.2010.02.001","article-title":"Improving pediatric cardiac surgical care in developing countries: matching resources to needs","volume":"13","author":"Dearani","year":"2010","journal-title":"Semin Thorac Cardiovasc Surg Pediatr Card Surg Ann"},{"key":"B9","first-page":"1004","article-title":"Humanitarian outreach in cardiothoracic surgery: from setup to sustainability","volume-title":"Ann Thorac Surg.","author":"Dearani","year":"2016"},{"key":"B10","first-page":"248","article-title":"Survey of Nongovernmental organizations providing pediatric cardiovascular care in low- and middle-income countries","volume-title":"World J Ped Cong Heart Surg.","author":"Nguyen","year":"2014"},{"key":"B11","first-page":"8","article-title":"Pediatric cardiac surgery: a challenge and outcome analysis of the guatemala effort","volume-title":"Semin Thorac Cardiovasc Surg Pediatr Card Surg Ann.","author":"Leon-Wyss","year":"2009"},{"key":"B12","doi-asserted-by":"publisher","first-page":"163","DOI":"10.1093\/icvts\/ivw069","article-title":"Paediatric and congenital cardiac surgery in emerging economies: surgical \u2018safari' versus educational programmes","volume":"23","author":"Corno","year":"2016","journal-title":"Int Cardio Vasc Thorac Surg."},{"key":"B13","doi-asserted-by":"publisher","first-page":"727","DOI":"10.1177\/2150135116668834","article-title":"Humanitarian cardiology and cardiac surgery in Sub-Saharian Africa: can we reshape the model?","volume":"7","author":"Tefera","year":"2016","journal-title":"World J Pediatr Cong Heart Surg."},{"key":"B14","first-page":"e184707","article-title":"Cost effectiveness of humanitarian pediatric cardiac surgery programs in low-and middle-income countries","volume-title":"JAMA Netw Open.","author":"Cardarelli","year":"2018"},{"key":"B15","first-page":"2480","article-title":"A stepwise model for delivering medical humanitarian aid requiring complex interventions","volume-title":"J Thorac Cardiovasc Surg.","author":"Young","year":"2014"},{"key":"B16","doi-asserted-by":"publisher","first-page":"E72","DOI":"10.1093\/eurheartj\/suw023","article-title":"International cooperation in healthcare: model of IRCCS policlinico san donato and bambini cardiopatici nel mondo association for congenital heart diseases","volume":"18","author":"Frigiola","year":"2016","journal-title":"Eur Heart J Suppl"},{"key":"B17","first-page":"S3","article-title":"The global burden of paediatric heart disease","volume-title":"Cardiol Young.","author":"Musa","year":"2017"},{"key":"B18","first-page":"S47","article-title":"Medical missions for the provision of paediatric cardiac surgery in low- and middle-income countries","volume-title":"Cardiol Young.","author":"Molloy","year":"2017"},{"key":"B19","first-page":"1016","article-title":"Treatment of children with Rheumatic heart disease in sub Saharan Africa by overseas medical missions: challenges left behind","volume-title":"J Cardiol Clin Res.","author":"Tefera","year":"2014"},{"key":"B20","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1007\/s12519-009-0019-0","article-title":"Creating a global climate for pediatric cardiac care","volume":"5","author":"Leblanc","year":"2009","journal-title":"World J Pediatr"},{"key":"B21","doi-asserted-by":"publisher","first-page":"930","DOI":"10.1016\/j.athoracsur.2018.05.020","article-title":"The Cape town declaration on access to cardiac surgery in the developing world","volume":"106","author":"Zilla","year":"2018","journal-title":"Ann Thorac Surg"},{"key":"B22","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1017\/S1047951117002517","article-title":"Pediatric cardiac intensive care society statement: caring for children with critical cardiac disease across the globe","volume":"27","author":"Brown","year":"2017","journal-title":"Cardiol Young."},{"key":"B23","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1177\/2F2150135119831965","article-title":"A tribute to dr montesinos: 20 years from medical missions to a cardiothoracic surgery department","volume":"10","author":"Martinez","year":"2019","journal-title":"World J Pediatr Cong Heart Surg"},{"key":"B24","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1067\/mtc.2001.118489","article-title":"Presidential address: changing boundaries","volume":"122","author":"Cox","year":"2001","journal-title":"J Thorac Cardiovasc Surg"},{"key":"B25","first-page":"621","article-title":"Vi\u00ea\u0323en tim institut du coeur: success of a congenital heart disease center in a developing country","volume-title":"Ann Glob Health.","author":"Lajos","year":"2016"},{"key":"B26","first-page":"S55","article-title":"Partnership models for the establishment of sustainable paediatric cardiac surgical and cardiac intensive care programmes in low- and middle-income countries","volume-title":"Cardiol Young","author":"Bastero","year":"2017"},{"key":"B27","doi-asserted-by":"publisher","first-page":"188","DOI":"10.3389\/fped.2018.00188","article-title":"The Shisong cardiac center in cameroon: an example of a long-term collaboration\/cooperation toward autonomy.","volume":"6","author":"Giamberti","year":"2018","journal-title":"Front Pediatr"},{"key":"B28","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1007\/s12265-014-9598-9","article-title":"Taking cardiac surgery to the people","volume":"7","author":"Yacoub","year":"2014","journal-title":"J Cardiovasc Transl Res."},{"key":"B29","first-page":"e6637","article-title":"Could a passage to India be the way to get more surgical experience?","volume-title":"Br Med J.","author":"Davies","year":"2012"},{"key":"B30","first-page":"12","article-title":"Challenges and progress of the paediatric cardiac surgery in Shanghai Children's Medical Center: a 25-year solid collaboration with project HOPE.","volume-title":"Semin Thorac Cardiovasc Surg Pediatr Card Surg Ann.","author":"Liu","year":"2009"},{"key":"B31","unstructured":"Initiation of a model six-year cardiothoracic surgery residency program in Shanghai, China8199\n            PezzellaAT\n          Ann Afr Chir Thor Cardiovasc42009"},{"key":"B32","unstructured":"Model 5 year cardiothoracic surgery residency program in Ho Chi Minh city, Vietnam716\n            PezzellaAT\n          Ann Afr Chir Thor Cardiovasc92014"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/article\/10.3389\/fped.2019.00214\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T05:35:20Z","timestamp":1560404120000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/article\/10.3389\/fped.2019.00214\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,13]]},"references-count":32,"alternative-id":["10.3389\/fped.2019.00214"],"URL":"https:\/\/doi.org\/10.3389\/fped.2019.00214","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,13]]},"article-number":"214"}}