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Colombia establishes Itself as a destination for cardiac surgery: International patient receives specialized treatment

  • Mr. Hoeseinali Ashraf, a businessman from Suriname diagnosed with three-vessel coronary artery disease, traveled to Colombia to undergo myocardial revascularization surgery at the Hospital Internacional de Colombia (HIC) due to the unavailability of this procedure in his home country.
  • The specialists at HIC performed the surgery without the use of cardiopulmonary bypass, a technique that, in experienced centers, can provide benefits for certain selected patients, including faster recovery and a lower risk of some postoperative complications.
  • The institution is solidifying its position as an alternative for international patients requiring complex cardiovascular surgery, combining advanced technology with a highly specialized team. Additionally, it has an International Office that facilitates comprehensive care for foreign patients.

Bucaramanga, Colombia, January 2025. The Hospital Internacional de Colombia (HIC) recently hosted a key surgical procedure for Mr. Hoeseinali Ashraf, a 60-year-old businessman from Suriname who was suffering from three-vessel coronary artery disease. This condition is characterized by severe obstruction of the three main coronary arteries, significantly restricting blood flow to the heart muscle and increasing the risk of myocardial infarction and other cardiovascular complications.

In his home country, access to this type of surgery was limited due to high demand and the prioritization of critically ill patients. Uncertain about the waiting time for his procedure, his cardiologist recommended exploring options abroad, leading him to contact HIC in Colombia, where he found the necessary infrastructure and medical expertise for his treatment.

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A procedure without cardiopulmonary bypass

Dr. Gustavo Andrés Prieto González, Head of the Cardiovascular Surgery Department, explains the surgical approach in this case:

"The patient had severe ischemic heart disease with three-vessel coronary artery disease, meaning there was significant obstruction in his main arteries, preventing adequate myocardial perfusion. To restore blood flow, we performed myocardial revascularization, a procedure in which bypass grafts are created to redirect blood to the affected areas of the heart."

In this case, the surgical team opted to perform the procedure without cardiopulmonary bypass, meaning the operation was conducted on a beating heart without the use of a heart-lung machine. "This approach can reduce complications associated with extracorporeal circulation, including systemic inflammatory response, bleeding risk, and potential dysfunction of other organs," adds Dr. Prieto.

This type of surgery is one of the most frequently performed at HIC, where a high level of expertise has been developed in off-pump coronary artery bypass grafting. "Thanks to our team's experience and the available technology, we can offer our patients safe and effective procedures, leading to faster recovery and better long-term outcomes," the specialist states.

The patient’s experience

The surgery lasted approximately two and a half hours. In the following three days, Mr. Hoeseinali Ashraf remained in the Intensive Care Unit (ICU), where the medical and nursing teams closely monitored his progress, ensuring optimal postoperative management and minimizing the risk of complications.

“The care I received was exceptional. The entire staff was attentive to every detail; I felt safe at all times. After my stay in the ICU, I was transferred to a private room where my recovery continued under medical supervision. Within a week, I was ready for discharge,” says the patient.

The rehabilitation process also played a crucial role in his recovery. “The specialists in this field played a crucial role. They guided me through each exercise, ensuring I regained mobility and confidence. Now I can walk, climb stairs, and exercise without discomfort—something that was impossible before the surgery,” he highlights.

Additionally, Mr. Hoeseinali Ashraf emphasizes the favorable conditions of Bucaramanga for his recovery. “The climate here is perfect. It’s not too hot, which makes mobility and overall well-being easier. Moreover, the hospital environment and the warmth of the staff make you feel comfortable and at ease. High-quality service accelerates recovery.”

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Impact of the procedure on quality of life

Dr. Prieto explains the long-term benefits of myocardial revascularization: “This procedure not only improves the patient’s quality of life but also significantly reduces the risk of major cardiovascular events, such as myocardial infarction. Furthermore, by restoring proper blood flow, it alleviates angina symptoms, which are often highly limiting, and optimizes the patient’s overall prognosis.”

The specialist highlights the importance of combining advanced technology with a highly skilled multidisciplinary team. “The success of this case underscores the significance of having experienced cardiovascular surgeons, state-of-the-art infrastructure, and a comprehensive approach to patient care.”

Options for international patients

Mr. Hoeseinali Ashraf case reflects the reality of many patients who must seek specialized medical care abroad due to the lack of availability or resources in their home countries. Off-pump coronary artery bypass surgery, available at HIC, represents an advanced alternative for those requiring complex cardiovascular procedures at a more affordable cost than in countries like the United States, without compromising the quality of care or medical standards.

Hoeseinali Ashraf stresses the importance of acting promptly when it comes to health. “Don’t wait for the situation to worsen. Explore all available options. In my case, coming to Colombia was the best decision.”

HIC is a trusted destination for international patients seeking specialized treatments, standing out as a reference center for cardiovascular disease management. Additionally, it has an International Office dedicated to providing personalized support to foreign patients, facilitating their medical journey, and ensuring a comprehensive healthcare experience.