DEPARTMENT OF ISCHEMIC HEART DISEASE SURGICAL TREATMENT AND MINIMALLY INVASIVE CORONARY SURGERY (DMIS)

Department of ischemic heart disease surgical treatment and minimally invasive coronary surgery was founded in 2003. Highly professional cardiac surgeons and cardiologists of the country with extensive experience in performing heart operations work here. Over the past years, more than 4 thousand operations have been performed in the department for various forms of coronary pathology.

• Coronary arteries atherosclerosis
• Angina pectoris
• Myocardial infarction
• Painless myocardial ischemia
• Post-infarction cardiosclerosis
• Post-infarction left ventricle aneurysm
• Ischemic cardiomyopathy
• Acute coronary syndrome
• Chronic heart failure in patients with IHD
• The combination of heart pathology with atherosclerotic lesions of the vessels of the brain, lower extremities, abdominal aorta, renal arteries, etc.
• Cardiac pathology complicated by concomitant oncological diseases, chronic lung diseases, renal failure, etc.

• Coronary artery bypass grafting off-pump
• Coronary artery bypass grafting under cardiopulmonary bypass
• Resection of post-infarction aneurysm with geometric reconstruction of the left ventricle in combination with coronary artery bypass grafting on a beating heart
• Coronary artery bypass grafting on a beating heart in combination with surgical treatment of concomitant vascular pathology (reconstructive surgery on brachiocephalic arteries, terminal aorta, arteries of the lower extremities, etc.)
• Coronary artery bypass grafting with repair of heart valve pathology under cardiopulmonary bypass with reduced invasion
• Minimally invasive myocardial revascularization (revascularization of the arteries of the anterior wall of the left ventricle on-pump with access through the left thoracotomy). The main advantage of this technique is the cosmetic effect.

The department can perform all types of endovascular procedures on the coronary and peripheral arteries (angioplasty, stenting, etc.).
All operations on a beating heart are necessarily carried out with a prepared heart-lung machine, which is connected in cases of development of therapeutically uncorrected changes in hemodynamics.

Over 20 years, the department has performed more than 7 thousand open heart operations, 4.5 thousand of which were performed using the minimally invasive technique. Over the past ten years, about 600-650 patients are examined and treated in the department annually, 250-300 open surgical interventions are performed for various forms of ischemic heart disease and 30-60 endovascular coronary interventions. Hospital mortality is generally 0.1 - 0.3%, during off-pump coronary artery bypass surgery 0 - 0.6%, during operations under cardiopulmonary bypass 0 - 2.3%. In patients with post-infarction aneurysms during reconstructive operations on the left ventricle in combination with coronary bypass grafting on a beating heart, the mortality rate has been 1.2% for many years.