A Global Systematic Review of Open-Heart Valvular Surgery in Resource Limited Settings

Many obstacles challenge cardiac surgery in low- and middle-income countries, despite unmet cardiac surgical needs. One challenge has been providing adequate follow up care to monitor anticoagulation, manage morbidity, and prevent mortality. This systematic review of 67 articles published between 2012 and 2022 describes outcomes after valvular cardiac surgery and focuses on strategies for prolonged follow up care in resource constrained settings.