Department of the heart valves and coronary arteries reconstructive surgery
The Department of the Heart Valves and Coronary Arteries Recontructive Surgery (HVCARS) was established on October 25, 2010. The department is headed by the director of the Institute of Coronary and Vascular Surgery of the Bakoulev Center professor Ivan Skopin. The department performs more than 450 heart operations per year.
- Prof. Ivan Skopin, MD, PhD- head of department;
- Leonid Spirin, MD- deputy head of department;
- Pavel Kakhktsyan MD, PhD- senior surgeon;
- Irma Tsiskaridze MD, PhD- senior fellow;
- Inga Farulova MD, PhD- senior fellow;
- Tigran Asatryan, MD, PhD- surgeon;
- Daria Murysova MD- cardiologist;
- Garik Alexanyan MD, PhD- cardiologist;
- Alexander Dremin MD- cardiologist;
- Magomed Kurbanov MD, cardiologist;
- Yekaterina Marchenko- senior nurse
The department is the direct heir of the traditions laid down in 1956 when the Department of Surgical Treatment of Acquired Heart Diseases was established at the Institute of Thoracic Surgery of the USSR Academy of Medical Sciences.
At first the department was headed by Professor S.A. Kolesnikov. Since 1966 up to 2000 the head of the unit was one of the most prominent cardiac surgeons of the country, the founder of the school for surgical treatment of acquired heart disease, professor Grigoriy Tsukerman.
In the year 2000, department of Reconstructive Surgery of Acquired Heart Diseases became an independent division of the Center, and it was the base that the HVCARS was established.
The main scientific and practical activities of the department are:
- Reconstructive and valve-sparing heart surgery;
- Surgical treatment of combined lesions of the heart valves, coronary arteries, aortic arch branches;
In a short time, the HVCARS quickly took the leading position in the Center and the country in the treatment of heart defects in adults. From 2011 to 2016, the department performed more than 2660 heart operations, of which about 2200 on-pump (Fig. 1)
Figure 1. Number of surgical procedure per year
Traditionally, one of the main activities of the department is reconstructive and valve-sparing surgery for heart defects. The department carries out a whole range of such operations, available in the arsenal of modern cardiac surgery. We are the undisputed leaders of the country in this direction. In fact, only the grossest changes in valve flaps cause it to be replaced, in all other cases the valve is restored and preserved.
The newest methods of mitral valve reconstruction are being developed. We have the largest in the country and one of the largest in Europe experience in performing a multicomponent correction of mitral insufficiency using multiple artificial ePTFE chords. To date, more than 150 patients have been operated with 100% satisfactory long-term results (Fig 2).
Figure 2. Correction of mitral insufficiency using multiple artificial ePTFE chords
Ischemic mitral insufficiency reconstruction surgery deserves special mention. It is widely known that with this pathology, the preservation of the mitral valve is vital, while prosthetics leads to persistent disability with a very disappointing long-term prognosis. In the department, all patients undergo a mitral valve reconstruction. About 90 patients operated on and had a good immediate and long-term results.
The valve-sparing aortic root replacement in ascending aorta aneurysm (David procedure) has become routine, the only limiting factor of which is the condition of the aortic valve itsefs. The Florida Sleeve technique is performing either (Fig. 3).
Figure 3. Florida Sleeve valve-sparing operation.
Another, no less important, priority of the department is the surgical treatment of patients with combined lesions of valves, coronary and brachiocephalic arteries. More than 450 combined operations were performed. To optimize the results, we use a variety of approaches, including OPCAB, CABG on parallel perfusion, hybrid endovascular interventions.
Our undoubted achievement is the results of surgical treatment for various neoplasms of the heart, both benign and malignant such as myxomas, fibroelastoma, rhabdomyoma, myosarcomas, etc. Mortalyty in this pathology is reduced to zero.
We also perform many other operations such as:
- Multi-valve replacement;
- Redo valve surgery and post-CABG valve surgery;
- Ascending and aortic arch reconstruction;
- Surgical treatment of valvular infective endocarditis;
- Surgical treatment of complicated forms of infective endocarditis with tissue destruction and abscessi.
Adult patients with any form of cardiac diseases requiring surgical intervention can contact the office of our department at: