Photo Source: V.A. Almazov NMRC
Implantation was required for a 36-year-old patient with end-stage heart failure, his heart could no longer pump blood independently. The patient was admitted to the hospital in critical condition with a series of severe complications, pulmonary embolism, infarction pneumonia, and other pathologies that made heart transplantation impossible.
The key aspect of the operation is synchronizing the work of two artificial ventricles to ensure balance between systemic and pulmonary circulation.
BiVAD is a high-tech method for treating end-stage heart failure and is used in global practice not only in emergency situations but also to create a "bridge to transplantation", both to stabilize the patient's condition while awaiting a donor organ and as long-term therapy when transplantation is contraindicated.
Globally, such operations are performed by a limited number of specialized centers, predominantly in the USA, Germany, and Israel. BiVAD programs are developed at Cleveland Clinic (Ohio, USA), Deutsches Herzzentrum (Berlin, Germany), Sheba Medical Center (Tel Aviv, Israel), National University Heart Centre (Singapore), and Fuwai Hospital in Beijing (China).
Successful BiVAD performance is a landmark stage for cardiac surgery development in Russia. Operations of this complexity require not only modern equipment and supplies but also a multidisciplinary team of specialists, cardiac surgeons, anesthesiologists-intensivists, perfusionists, and medical device configuration engineers.
Russia has a developed network of cardiac surgery competence centers, federal institutions in Moscow (Bakulev NMRC of Cardiovascular Surgery, Chazov NMRC of Cardiology), St. Petersburg (Almazov NMRC, Mariinsky Hospital), Novosibirsk (Meshalkin NMRC), and other cities. These clinics have experience performing complex open-heart surgeries, transplantations, and circulatory assist device implantations, allowing them to work with the most severe cases.
Previously, Marus Media reported on the first use in Russia of a unique Russian-developed prosthesis for aortic reconstruction. The operation was performed by vascular surgeons at Meshalkin NMRC. The so-called "frozen elephant trunk" prosthesis has been used worldwide for about 20 years, but the country previously had no domestic developments.
Source: Mariinsky Hospital
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