Abstract
There were 757 patients treated in our department in 2023. The number remained quite high compared to last year (760 – in 2022). Total quantity of surgery performed in the department was 432 in 2023, of which 402 (93.2%) were surgery for coronary heart disease: 13 (3%) ON-PUMP, 244 (61%) OFF-PUMP, of which 225 (92.2%) were through median sternotomy, 11 (4.5%) MICSCABG surgery, 8 (3.2%) MIDCABG surgery. Quite a lot of OFF-PUMP surgery were performed in combination with carotid endarterectomy – 40 (16.3%) in 2023. 3 and 4 distal anastomoses were performed in OFF-PUMP surgery most frequently. The overall revascularization index was 2.9. PCI was performed in 145 (36%) cases. 1 patient died in the department (after OFF-PUMP surgery), hospital mortality was 0.1%, surgical mortality was 0.2%, OFF-PUMP mortality was 0.4% in 2023. Good treatment results were maintained in 2023, compared to 2022, when there were no deaths in the department.
The main areas of scientific work of the department in 2023 were as follows. Evaluation of immediate and long-term results, quality of life of patients after left ventricular reconstruction operations on a contracting heart in combination with minimally invasive myocardial revascularization in patients with post-infarction LV aneurysms. Development and implementation of MICS techniques in practical surgery. Tactics of using the left internal mammary artery in bypass grafting of the anterior interventricular artery. Clinical use of endoscopic techniques for collecting venous and arterial grafts. Improvement and expansion of the use of the bimammary bypass technique in patients with coronary artery disease during OFF-PUMP surgery. Evaluation of long-term results and quality of life in patients with high-risk coronary artery disease after minimally invasive myocardial revascularization. Evaluation of the results of using OFF-PUMP revascularization in patients with acute coronary syndrome.
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About the authors
- Vadim Yu. Merzlyakov, Dr. Med. Sci., Professor, Head of the Department of Surgical Treatment of coronary heart disease and Minimally Invasive Coronary Surgery; ORCID
- Anton I. Skopin, Cand. Med. Sci., Cardiovascular Surgeon; ORCID
- Ivan V. Klyuchnikov, Dr. Med. Sci., Professor, Chief Researcher; ORCID
- Madina V. Zhelikhazheva, Dr. Med. Sci., Senior Researcher; ORCID
- Sevindzh K. Mamedova, Cand. Med. Sci., Researcher; ORCID
- Renat K. Baychurin, Cardiovascular Surgeon; ORCID
- Ruslan A. Khaziev, Cardiovascular Surgeon; ORCID
- Alexey M. Kaabak, Cardiovascular Surgeon;ORCID
- Elena M. Krivenkova, Postgraduate; ORCID
