title: [The project "Don Carlo Gnocchi Foundation--Cardio-Thoracic Department De Gasperis--Lombardy Region" for the care of children from socio-economically deprived areas affected by cardiac disease].
abstract: BACKGROUND
  In 2001 the Cardiac Rehabilitation Unit IRCCS S. Maria Nascente Center and the International Area of Don Carlo Gnocchi Foundation, in collaboration with the Cardiac Surgery Department "De Gasperis" of Niguarda Ca' Granda Hospital in Milan, planned a project to treat children from impoverished countries. The "Fondo Sanitario Regionale" of the Lombard Region cosponsored the program.
  
  
  METHODS
  From October 2001 to November 2006, 32 patients (25 from Zimbabwe and 7 from Albania) were selected and submitted to cardiac surgery: 22 patients were affected by acquired valvular heart disease in NYHA class III-IV, 10 by congenital heart disease. After surgery the patients admitted to our rehabilitation unit underwent a period of comprehensive cardiac rehabilitation. Afterwards, the patients were in the care of selected Italian families for about 3 months. In both populations the problems faced in the selection, management and surgical approach are discussed.
  
  
  RESULTS
  At 21 months the survival of the whole study population was 93 % (2 valvular patients died during the follow-up); 2 patients who initially underwent mitral valve repair were submitted to valve replacement for late appearance of severe regurgitation. In 3 patients with mitral valve bioprosthesis a significant structural valve deterioration occurred in the follow-up and 2 of them underwent valve replacement.
  
  
  CONCLUSIONS
  The advantage of the excellent performance in durability of mechanical prosthetic valves (with respect to the limited durability of porcine bioprostheses), the problems with long-term anticoagulation have to be taken into consideration in the management of patients coming from socio-economically deprived areas.
authors: UO di Riabilitazione Cardiologica, Centro IRCCSS. Maria Nascente, Fondazione Don Carlo Gnocchi, Milano. mferratini@dongnocchi.it
authors: Maurizio
authors: M
authors: Ferratini
authors: Stefano
authors: S
authors: Marianeschi
authors: Ettore
authors: E
authors: Vitali
authors: Fiore
authors: F
authors: Iorio
authors: Andrea
authors: A
authors: Moraschi
authors: Antonio
authors: A
authors: Pezzano
authors: Luigi
authors: L
authors: Mauri
authors: Saverio
authors: S
authors: Lorini
authors: Roberto
authors: R
authors: Rambaldi
authors: Carlo Alberto
authors: CA
authors: Tersalvi
authors: Marilena
authors: M
authors: Pesaresi
authors: Arketa
authors: A
authors: Pllumi
authors: Francesco
authors: F
authors: Santoro
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006349:Heart Valve Diseases / Q000601:surgery*; D006801:Humans; D008297:Male; D012959:Socioeconomic Factors