[Successful correction of congenital heart defects: multiple defects and atrial septal aneurysm].

A case of congenital cardiac disorder with multiple defects in the secondary interventricular septum and atrial septum aneurysm in a young serviceman is reported. Plastic surgery of the atrial septum with a good clinical outcome included closure of the defect with a flap harvested from the autopericardium under conditions of artificial blood circulation and warm blood cardioplegia.

[Successful correction of arterial fistula between coronary arteries and pulmonary trunk].

A case of congenital heart disease (fistula between left coronary artery and right pulmonary artery, right coronary artery and pulmonary trunk) diagnosed accidentally during planned medical examination is reported. Corrective surgery included disconnection of left coronary and right pulmonay arteries, right coronary artery and pulmonary trunk under artificial circulation and warm blood cardioplegia.

[Surgical treatment of coronary heart disease in elderly patients].

Current approaches to the provision of effective medical aid to elderly patients with cardiovascular diseases are discussed. Clinical characteristics of such patients, concomitant pathologies, the strategy and extent of cardiosurgical treatment and postoperative therapy are described The original observations are compared with literature data concerning the immediate postoperative outcomes, clinical features, and peculiarities ofsurgical intervention in the patients of this age group.

[Plastic surgery of the mitral valve in patients with coronary heart disease].

Modern approaches to cardiosurgical plastic intervention on the mitral valve in case of its ischemic insufficiency are discussed. Etiology of this condition, indications for surgery, and the history of such operations are described. It is concluded that plastic surgery of the mitral valve is the method of choice for the treatment of patients with coronary heart disease.

[Surgical treatment of post-infarction left ventricular aneurysm complicated by thromboendocarditis].

This paper reports the result of surgical treatment of a patient with hemodynamically significant post-infarction left ventricular aneurysm spreading over the apex, anterolateral wall of the left ventricle, and a major part of interventricular septum complicated by thromboendocarditis.

[Correction of mitral regurgitation in conditions of surgical treatment of coronary heart disease].

It was the purpose of this search to announce that elaborating an optimal tactics for patients with coronary heart disease (CHD), complicated with ischemic mitral regurgitation (IMR). There were operated 85 patients with CHD and IMR in the course of 2006-2008. Previously all patients were separated on 3 groups in dependence of severity of IMR, character of damage of coronary race and changing of left ventricle.