DEPARTMENT OF ISCHEMIC HEART DISEASE SURGICAL TREATMENT AND MINIMALLY INVASIVE CORONARY SURGERY (DMIS)
Main directions of clinical work
- 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.
Types of operations developed and implemented in the department
- 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.
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.
Head of department
senior scientific researcher
Moscow, Rublyovskoye shosse, 135
Moscow, Leninsky prospect, 8, building 7