DEPARTMENT OF ISCHEMIC HEART DISEASE SURGICAL TREATMENT (IHDST)

The department of ischemic heart disease surgical treatment began work on 6 July 1978. It was the first specialized department in Russia (and the former USSR) created to develop and introduce into clinical practice methods of surgical treatment of ischemic heart disease.

• Surgical treatment of patients with ischemic heart disease
• Surgical treatment of the coronary circulation acute disorders: unstable angina and myocardial infarction
• Surgical treatment of complicated forms of ischemic heart disease: post-infarction heart aneurysm, ischemic cardiomyopathy, interventricular septum post-infarction rupture
• Surgical treatment of patients with combined atherosclerotic lesions of the coronary artery and blood vessels supplying the brain (brachiocephalic arteries)
• Surgical treatment of patients with multifocal atherosclerosis (combined lesion of several vascular pools)
• Surgical treatment of patients with angina recurrence after previously performed coronary artery bypass grafting
• Surgical treatment of IHD patients with additional operational risk factors (elderly and aged patients, patients with concomitant diseases, patients with diffuse lesions of the coronary arteries)

• Coronary artery bypass grafting operations both on-pump and off-pump
• The left ventricle geometric reconstruction associated with post-infarction aneurysm and ischemic cardiomyopathy in combination with coronary artery bypass grafting
• Simultaneous and staged operations of carotid endarterectomy and coronary artery bypass grafting in patients with combined lesions of the coronary and carotid arteries
• Repair of intrathoracic lesions of the brachiocephalic arteries in combination with coronary artery bypass grafting
• The left ventricle geometric reconstruction in combination with plasty or mitral valve replacement and coronary artery bypass grafting in ischemic mitral insufficiency
• The left ventricle geometric reconstruction in combination with plasty of post-infarction ventricular septal defect using the original technique developed in the department

Over the past ten years, the department annually performs 350-450 surgical interventions for various forms of ischemic disease, 40-60 percutaneous coronary interventions and other transcatheter procedures. Hospital mortality is generally 3-4%, 0.5-1.5% for coronary artery bypass surgery, 5-6% for the repair of post-infarction aneurysms and is constantly decreasing, despite more severe patient population.