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Cardiovascular / Vascular surgeon

Cardiovascular surgeons are doctors specializing in the diagnosis and surgical treatment of diseases of the heart and coronary arteries; vascular surgeons treat major blood vessels anywhere in the body. At the GMS surgery center, patients are treated by experienced specialists who have thoroughly mastered all modern methods of cardiological and endovascular surgery.

Most interventions are performed using intravascular endoscopy, which minimizes operative trauma and ensures fast, trouble-free recovery. These operations are not always performed directly at GMS Hospital; we frequently involve our partner medical institutions such as the Bakulev Center for Cardiovascular Surgery.

What symptoms indicate that you should contact a cardiovascular surgeon

A consultation with a cardiovascular surgeon is necessary if any of the following symptoms occur:

Cardiovascular/vascular surgeon
  • persistent headaches;
  • incessant ringing or noise in the ears and head;
  • numbness, "crawling goosebumps", a slight burning sensation, or decrease in sensitivity in any part of the body;
  • a sharp decrease in vision, seeing “stars” or flashes of light before the eyes;
  • heaviness and buzzing sensation in the legs, swelling, feeling of distention;
  • cramps and pain in the calf muscles when walking or running;
  • cold sensation in the limbs;
  • muscle cramps in the limbs;
  • the appearance of dense, convoluted and/or dilated veins;
  • pulsating sensation in the abdomen;
  • the appearance of spider veins;
  • chest pain radiating to the arm, groin, lower back or buttock area;
  • loss of coordination;
  • frequent fainting, dizziness.

The vascular system is subject to pathologies of different types and origins. The doctor will make a quick and accurate diagnosis and proceed to administer the necessary treatment. Appointments with a cardiovascular surgeon at GMS Hospital can be made through the website or by phone.

What does a vascular surgeon treat

The list of pathological conditions that are diagnosed and treated by vascular surgeons is quite extensive:

  • heart defects of various causes;
  • ischemic heart disease (CHD);
  • myocarditis;
  • atrial fibrillation;
  • stroke;
  • hypertonic disease;
  • atherosclerosis;
  • myocardial infarction;
  • arterial and venous embolism;
  • thrombosis, thrombophlebitis;
  • arteriovenous malformations;
  • stroke;
  • thromboangiitis obliterans;
  • stenosis of carotid, visceral, coronary, renal arteries;
  • aortic aneurysm;
  • arteriovenous fistula, etc.

The decision to perform a surgical intervention is made by the doctor, in line with very specific criteria identifying a particular disease. Thanks to modern methods of endovascular surgery, today’s doctors can successfully treat almost any pathology of the heart and blood vessels.

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Preparation, diagnosis

To diagnose lesions of the heart and large blood vessels, the cardiovascular specialist orders a comprehensive series of tests, including a wide range of laboratory analyses and instrumental exams:

All exams are performed using high-tech diagnostic systems, which allow the specialist to see the slightest deviations in the functioning of the vascular system. Sometimes, to obtain the most complete picture of the disease, the doctor may prescribe additional examinations (ultrasound of the thyroid gland, kidneys, adrenal glands) and may enlist the help of related specialists.

Cardiovascular/vascular surgeon

Your initial consultation

The initial consultation involves questions about the patient’s medical history, a physical examination, an assessment of arterial blood flow, and palpation of the veins. So the doctor can correctly assess the condition of your vascular system, it is recommended that you first undergo a series of medical tests, and then bring the results to your consultation. For a preliminary assessment of the circulatory system, the following tests are required:

  • blood tests - clinical (expanded), coagulogram, blood biochemistry;
  • ECG, ultrasound exam of the heart.

If other tests are needed in order to make or confirm a diagnosis, the doctor will prescribe them during the consultation. Based on the results of the tests and examinations, the specialist will decide on a further treatment strategy. If the pathology cannot be eliminated with conservative therapy, the surgeon will discuss with the patient the most appropriate intervention option as well as the optimal date for the procedure.

What operations are performed

Cardiovascular surgeons perform operations to treat coronary heart disease, various arrhythmias, and heart failure. These specialists are able to correct all types of heart defects, and remove neoplasms of the pulmonary trunk and cardiovascular tumors. GMS Hospital surgeons perform the following operations:

  • installation of pacemakesr;
  • sclerotherapy;
  • coronary artery bypass surgery;
  • glue obliteration of varicose veins;
  • vascular stenting;
  • balloon angioplasty of vessels;
  • pericardiocentesis;
  • laser coagulation of blood vessels;
  • phlebectomy;
  • removal of aortic aneurysms.

Many procedures are performed using endovascular techniques, which don’t require large, traumatic surgical incisions; in fact they are performed without any incisions, and therefore involve no postoperative stitches or scarring. The vascular surgeon makes only one small puncture in the area of ​​the large vessel being operated on, and endovasally (through the vein system) performs all the necessary steps without injury to the surrounding tissues.

What to expect after your appointment with the cardiovascular surgeon

The treatment plan is designed by the doctor on the basis of the diagnosis and the results obtained during the examination. Treatment always involves a combination of surgical intervention, medicinal therapy, sclerotherapy, and other approaches. The surgical plan is created individually for each patient, ensuring the best possible clinical outcome, minimizing risks, significantly reducing the rehabilitation period.

For patients who are candidates for surgery, the doctor will describe each stage of the procedure in detail, conduct all necessary preoperative exams and procedures, and set the date for hospitalization. Thanks to the use of minimally invasive microsurgical techniques, many operations do not require more than a 24-hour hospital stay following the procedure.

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