In Puerto Rico—more than one month after Hurricane Maria devastated the island—many communities still lack the water, electricity, pharmaceuticals, communications, transportation, and other resources needed to sustain life and care for patients. At Hospital Español Auxilio Mutuo in San Juan, our cardiac perfusion team works under these challenging conditions to provide medical care, which has included a successful aortic dissection repair performed with the patient under deep hypothermic circulatory arrest while the hospital was on generator power.
