DEPARTMENT OF SURGICAL TREATMENT OF CORONARY AND GREAT ARTERIES COMBINED DISEASES

Department of surgical treatment of coronary and great arteries combined diseases provides the surgical treatment to patients:

• with ischemic heart disease, with severe damage to the coronary arteries and indications for myocardial revascularization;
• who underwent coronary artery bypass surgery, complicated by the return of angina pectoris and who have indications for repeated myocardial revascularization;
• with diffuse lesions of the coronary arteries (if there are indications for combined coronary bypass surgery and transmyocardial laser revascularization);
• of high risk, including elderly and aged patients, with low myocardial contractility, polymorbid, with diabetes mellitus, chronic obstructive pulmonary disease, arterial hypertension, multifocal atherosclerosis, etc.;
• having a combined lesion of the coronary arteries and heart valves, left ventricle aneurysm, atherosclerosis of the carotid arteries and arteries of the lower extremities;
• having indications for endovascular treatment of coronary and peripheral (carotid, lower extremities, etc.) arteries.

• coronary artery bypass grafting off-pump and on-pump a beating heart and with cardiopulmonary bypass;
• repeated coronary artery bypass grafting;
• multiple coronary artery bypass grafting through alternative mini-accesses (without median sternotomy);
• coronary artery bypass grafting with simultaneous use of laser myocardial revascularization (for patients with poor distal coronary artery flow);
• coronary artery bypass grafting in patients with low contractility of the left ventricular myocardium, including combination with resection of left ventricular aneurysm;
• combined operations of coronary artery bypass grafting with reconstructive operations on heart valves;
• endovascular interventions on coronary and peripheral arteries using drug-eluting stents.

On average, the department performs more than 450 operations annually, including about 330 open-heart operations. During the existence of the department, more than 6 thousand operations on the heart and blood vessels have been performed. The percentage of postoperative complications corresponds to the data of the world's leading clinics specializing in such operations.