Clinique medico-chirurgicale infantile (CMCI) at Bou Ismail is a dedicated pediatric heart center in Algeria that accepts public health insurance (Figure 1).
The Center has 7 full time pediatric cardiac surgeons (and one part time surgeon), 4 pediatric interventional cardiologists, 3 pediatricians, and 4 full time cardiovascular perfusionists. Roughly 800 catheter interventions and 450 cardiac operations (350 on-pump) are performed yearly.
Challenges include complex congenital heart disease especially in neonates, and cases requiring mechanical circulatory support and cardiac transplantation.
The center recently installed a new pediatric catheterization laboratory (Figure 3) to improve management of patients requiring interventional procedures. The first intervention performed in this new facility was a transcatheter perforation of the pulmonary valve membrane and balloon dilatation in a neonate (Figure 4).