What operations we perform
Our strategy is not only to relieve symptoms but make patient’s life easier and longer, to make it as comfortable as possible. In order to achieve this goal, we strive to perform complex “preserving” surgery
Minimally-invasive (mini-access) coronary bypass surgery
This is a modification of Coronary bypass surgery of any complexity which is implemented out of a small incision on the left side of the chest between the ribs (length of the incision 7-10 cm), without dividing the sternum, on the beating heart. We use not only venous grafts but also arterial conduits from internal thoracic arteries, which stay patent longer than venous grafts.
With mini-access surgery, recovery is achieved much faster, the wound is less painful, and there are no restrictions on physical activity for the first 3 months after surgery. We also do not make large incisions in the legs: we take down vessels gently using endoscopic equipment.
Reconstructive heart valve surgery of any complexity and creation of valves from patient's own tissues
Valve-preserving valve surgery is not routinely performed in most centres. Unlike mitral valve repair, reconstructive aortic valve surgery is rarely practiced as a routine. Instead, surgeons perform valve replacement. However, according to our strategy, we perform a full range of operations with preservation of the native aortic and mitral valves in full range of valve and aortic root pathology. Even in case of aortic stenosis when valve cusps are not amenable for repair we replace them by the native tissue cusps of equal size. This is Ozaki operation. This is an alternative to an artificial tissue valve replacement procedure.
This spectrum of surgeries in experienced hands are durable and what is also important, they allow the patient to avoid warfarin. In all cases, we try to preserve the valve as much as we can. Successful valve reconstruction has been shown to prolong life longer than an artificial valve, with little or no loss in quality of life.
Ozaki operation
It is performed in cases of severe aortic stenosis when the valve is literally not opening and narrowing the aortic valve orifice to a great extent. In this your cardiac surgeon is creating new aortic valve cusps out of your own pericardial tissue in order to replace the damaged valve.
The main difference with standard aortic valve replacement (AVR) surgery is that nothing else than your own tissue is used so you do not need any life-long blood thinners after this surgery. In our practice we had such a result that the neoaortic valve had such native appearance that it was confused with the native aortic valve on postoperative echocardiographic screening.
Surgical treatment of atrial fibrillation
In order to interrupt pathologic irregular pattern of atrial contractions called atrial fibrillation we perform thoracoscopic radiofrequency ablation of the left atrium. The logic of arrhythmia development is well investigated, so this set radiofrequency lesions is deemed to stop propagation of pathological impulses and allow only the physiologic one to approach cardiac chambers. This occurs in the highly prognosed percentage of cases, so the operation is considered highly effective for treatment of even long-standing form of atrial fibrillation along with easier case of persistent and paroxysmal forms of this obnoxious arrhythmia. Such intervention may be performed in a primary setting when the potential effect of catheter ablation is considered insufficient. Otherwise it can be implemented in case of arrhythmia recurrence after one or several catheter ablations.
Thoracoscopic ablation surgery is performed without incisions at all. Three 5 to 10 mm ports are inserted between the ribs from consequently right and left sides of patiens chest and visualization is achieved by a high-resolution endoscopic camera. This technique is effective in eliminating arrhythmias with a high probability. Normally, the duration of hospitalization after this procedure is 4-5 days.
Chief Cardiac Surgeon, MD, PhD
Vidadi U. Efendiev, MD
Dr. Efendiev is an exclusive cardiac surgeon performing all modern heart surgeries of any complexity. His main interest in reconstructive interventions on the heart valve apparatus, heart transplantation, robotic surgery, mini-access surgeries, total arterial beating-heart coronary bypass surgery. To date, he has performed more than 4000 heart surgeries.
Cardiac Surgeon
Mikhail Snegirev, MD
Dr. Snegirev is a Cardiac surgeon focusing on in minimally invasive and endoscopic cardiac surgery. He is experienced in beating heart multiarterial bypass grafting surgery, minimally invasive multivessel coronary artery bypass operations, reconstructive valve surgery and thoracoscopic interventions for complex variants of atrial fibrillation. His further interest is totally endoscopic valve operations. To date, his logbook includes more than 500 cases.
Cardioanesthesioligist, MD, PhD
Vladimir Shmyrev, MD
Dr. Shmyrev has outstanding experience in providing cardiac surgeries of any complexity. He deliveres safe and efficient anesthesia based on profound understanding of patient’s individual physiology. Dr Shmyrev is also highly proficient in extracorporeal circulation techniques. Dr. Shmyrev manages all our cardiac surgery patients in the early postoperative period during their recovery from anesthesia.
When deciding on a surgical intervention, we first of all think about how comfortable the patient's life will be after the operation
Results
Mini-access surgeries performed
>1000
days it takes on average to recover
≈5
Of all surgeries using minimally invasive techniques
Coronary artery bypass surgery on a beating heart
≈30%
>3000
Contact us to book a free consultation
Dear colleagues and patients,
Due to the wide range of opportunities available, we are ready to accept for free consultation patients who need surgical correction of heart pathologies.
To make an appointment for a consultation, please fill out the form:
Due to the wide range of opportunities available, we are ready to accept for free consultation patients who need surgical correction of heart pathologies.
To make an appointment for a consultation, please fill out the form:
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