Abstract
639 patients were treated in the Department of surgical treatment of coronary artery disease and minimally
invasive coronary surgery A.N. Bakoulev Scientific Center for Cardiovascular Surgery during 2015. Growth
relative to 2013 was 54%. It was performed 379 interventions for coronary heart disease, of which 309
(81.5%) – off-pump CABG, 30 (7.9%) operations on-pump (mainly about post-infarction left ventricular
aneurysm in combination with CABG) and 40 (10.6%) – coronary stenting. Hospital mortality was 0.2%,
surgical mortality rate – 0.5%, mortality in off-pump – 0.3%, mortality in on-pump – 0%.Based on 10 years of experience, we have come to the conclusion that myocardial revascularization on a
beating heart through a median sternotomy is a safe and effective surgical treatment of coronary artery disease
in the hands of the trained surgeon working in a specialized hospital. In the hospital and late results of
the method is able to compete with standard CABG on-pump. The benefits are particularly important in
patients with a high surgical risk. Another important part of our research – is the use of minimally invasive
procedures in patients with postinfarction left ventricular aneurysms. When the left ventricle reconstruction
operations on the beating heart, we managed to reduce the number of hospital complications, including
mortality rate, which was 0.9%.
Department has been actively involved in advisory work by region and educational and methodical work.
Publication activity remains stable for several years.
Key words: ischemic heart disease; coronary artery bypass; off-pump coronary artery bypass; post-infarction
left ventricular aneurysm; left ventricular restoration.
References
- Bockeria L.A., Rabotnikov V.S., Glyantsev S.P., Alshibaya M.D. Essays on the history of coronary surgery. Moscow: A.N. Bakoulev Scientific Center for Cardiovascular Surgery RAMS; 2002 (in Russ.).
- Bockeria L.A., Berishvili I.I., Sigaev I.Yu. Current state and prospects of development for coronary surgery. Annaly khirurgii. 1997; 4: 31–45 (in Russ.).
- Bockeria L.A., Berishvili I.I., Sigaev I.Yu. Minimally invasive myocardial revascularization. Moscow: A.N. Bakoulev Scientific Center for Cardiovascular Surgery RAMS; 2001 (in Russ.).
- Bockeria L.A., Berishvili I.I., Sigaev I.Yu. Myocardial revascularization: changing campains and the development. Grudnaya i serdechno-sosudistaya khirurgiya. 1999; 6: 102–12 (in Russ.).
- Al-Ruzzeh S., Nakamura K., Athanasiou T., Modine T., George S., Yacoub M., Ilsley C., Amrani M. Does off-pump coronary artery bypass (OPCAB) surgery improve the outcome in high-risk patients?: A comparative study of 1398 high-risk patients. Eur. J. Cardiothorac. Surg. 2003; 23: 50–5.
- Lemma M.G., Coscioni E., Tritto F.P., Centofanti P., Fondacone C., Salica A., Rossi A., De Santo T. et al. On-pump versus off-pump coronary artery bypass surgery in high-risk patients: Operative results of a prospective randomized trial (on-off study). J. Thorac. Cardiovasc. Surg. 2012; 143 (3): 625–31.
- Pawlaczyk R., Swietlik D., Lango R., Rogowski J. Off-pump coronary surgery may reduce stroke, respiratory failure, and mortality in octogenarians. Ann. Thorac. Surg. 2012; 94 (1): 29–37.
- Dor V., Sabatier M., Montiglio F., Civaia F., Di Donato M. Endoventricular patch reconstruction of ischemic failing ventricle. A single center with 20 years experience. Advantages of magnetic resonance imaging assessment. Heart Fail. Rev. 2004; 9 (4): 269–86.
- Maxey T.S., Reece T.B., Ellman P.I., Kern J.A., Tribble C.G., Kron I.L. The beating heart approach is not necessary for the Dor procedure. Ann. Thorac. Surg. 2003; 76 (5): 1571–4.
- Calafiore A.M., Di Giammarco G., Teodori G., Iaco` A.L., Pano M., Contini M., Vitolla G., Di Mauro M. Bilateral internal thoracic artery grafting with and without cardiopulmonary bypass: Six-year clinical outcome. J. Thorac. Cardiovasc. Surg. 2005; 130 (2): 340–5.
- Shneyder Yu.A. Autoarterial bypass grafting of blood vessels of the heart without cardiopulmonary bypass. Grudnaya i serdechno-sosudistaya khirurgiya. 2001; 2: 31–4 (in Russ.).
