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2025, Vol: 2, Issue: 3
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Review Article
Online Published: 14 Nov 2025
 


Evolving Strategies in the Surgical Management of Rheumatic Heart Disease in Low-Resource Settings: A Nigerian Perspective

Moyijo Abubakar Maishanu, Fahd Hassan.


Abstract
Rheumatic heart disease (RHD) remains a significant public health burden in Nigeria and other low- and middle-income countries (LMICs) despite being virtually eliminated in high-income countries. The disease usually affects adolescents and young adults, who usually present with advanced lesions. Surgical management in this region is complicated by the prohibitive cost of cardiac surgery, delayed presentations, and limited access to specialised care. This review highlights the evolving surgical strategies for managing RHD in Nigeria. It discusses the burden and epidemiology of RHD, challenges in surgical care, traditional surgical methods, and emerging strategies to improve access and outcomes. It also presents the progress made in building local capacity, reducing reliance on international missions, and formulating sustainable approaches tailored to low-resource settings.

Key words: Rheumatic Heart Disease, Valve Surgery, Low-Resource Settings, Nigeria, Cardiac Surgery Access, Health System Challenges


 
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How to Cite this Article
Pubmed Style

Maishanu MA, Hassan F. Evolving Strategies in the Surgical Management of Rheumatic Heart Disease in Low-Resource Settings: A Nigerian Perspective. J Surg Res Rev. 2025; 2(3): 37-44. doi:10.5455/JSRR.20250709123537

Web Style

Maishanu MA, Hassan F. Evolving Strategies in the Surgical Management of Rheumatic Heart Disease in Low-Resource Settings: A Nigerian Perspective. https://www.wisdomgale.com/jsrr/?mno=269968 [Access: November 21, 2025]. doi:10.5455/JSRR.20250709123537

AMA (American Medical Association) Style

Maishanu MA, Hassan F. Evolving Strategies in the Surgical Management of Rheumatic Heart Disease in Low-Resource Settings: A Nigerian Perspective. J Surg Res Rev. 2025; 2(3): 37-44. doi:10.5455/JSRR.20250709123537


Vancouver/ICMJE Style

Maishanu MA, Hassan F. Evolving Strategies in the Surgical Management of Rheumatic Heart Disease in Low-Resource Settings: A Nigerian Perspective. J Surg Res Rev. (2025), [cited November 21, 2025]; 2(3): 37-44. doi:10.5455/JSRR.20250709123537


Harvard Style

Maishanu, M. A. & Hassan, . F. (2025) Evolving Strategies in the Surgical Management of Rheumatic Heart Disease in Low-Resource Settings: A Nigerian Perspective. J Surg Res Rev, 2 (3), 37-44. doi:10.5455/JSRR.20250709123537


Turabian Style

Maishanu, Moyijo Abubakar, and Fahd Hassan. 2025. Evolving Strategies in the Surgical Management of Rheumatic Heart Disease in Low-Resource Settings: A Nigerian Perspective. Journal of Surgical Research and Reviews, 2 (3), 37-44. doi:10.5455/JSRR.20250709123537


Chicago Style

Maishanu, Moyijo Abubakar, and Fahd Hassan. "Evolving Strategies in the Surgical Management of Rheumatic Heart Disease in Low-Resource Settings: A Nigerian Perspective." Journal of Surgical Research and Reviews 2 (2025), 37-44. doi:10.5455/JSRR.20250709123537


MLA (The Modern Language Association) Style

Maishanu, Moyijo Abubakar, and Fahd Hassan. "Evolving Strategies in the Surgical Management of Rheumatic Heart Disease in Low-Resource Settings: A Nigerian Perspective." Journal of Surgical Research and Reviews 2.3 (2025), 37-44. Print. doi:10.5455/JSRR.20250709123537


APA (American Psychological Association) Style

Maishanu, M. A. & Hassan, . F. (2025) Evolving Strategies in the Surgical Management of Rheumatic Heart Disease in Low-Resource Settings: A Nigerian Perspective. Journal of Surgical Research and Reviews, 2 (3), 37-44. doi:10.5455/JSRR.20250709123537


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