Open-heart surgery
The clinic performs the full range of operations for coronary artery disease, including coronary artery bypass grafting in patients with a low ejection fraction, severe aortic atherosclerosis, cancer or other serious conditions.
Center of Cardiovascular Surgery and Interventional Cardiology
at the N.I. Pirogov Clinic of High Medical Technologies of St. Petersburg State University
About the clinic
The clinic provides complete care for adults with heart and vascular disease: from an outpatient consultation and expert diagnostics to surgery, intensive care, recovery and long-term follow-up.
The clinic is part of the N.I. Pirogov Clinic of High Medical Technologies of Saint Petersburg State University. Cardiologists, cardiovascular and endovascular surgeons, arrhythmologists, functional diagnostics specialists, anesthesiologists and intensivists work here side by side.

Every year the clinic's specialists perform:
25,000+
consultations a year
Patients with cardiovascular disease are seen six days a week, 08.00 to 20.00, at four SPbU sites in Saint Petersburg. The outpatient unit holds more than 25,000 consultations a year.
Book an appointmentThe clinic was founded in 2014. Over 12 years the clinic has built a single system of care for patients with cardiovascular disease, in which diagnostic and treatment units work as one team. Today the service includes:
This structure lets the clinic accompany the patient at every stage and make decisions based not only on a single diagnosis but on the person's overall condition, other illnesses and the expected result of treatment.
The clinic treats patients with the following diseases and conditions:
A special area of the clinic's work is patients with combined conditions, when heart or vascular disease comes with cancer, chronic kidney disease, disease in several vascular territories, or the need for major non-cardiac surgery. See the full list in the Diseases section.
Complex cases are reviewed by a multidisciplinary team of cardiologists, cardiovascular and endovascular surgeons, arrhythmologists, anesthesiologists-intensivists and functional diagnostics specialists — meet the clinic's doctors.
The team weighs the options and chooses the approach that fits the individual patient:
When needed, oncologists, nephrologists, urologists, gynecologists, orthopedic surgeons and general surgeons join the discussion.
The clinic performs the full range of operations for coronary artery disease, including coronary artery bypass grafting in patients with a low ejection fraction, severe aortic atherosclerosis, cancer or other serious conditions.
Whenever possible, surgeons preserve the patient's own valve. The clinic performs reconstructive and minimally invasive operations and combined correction of valve disease, coronary disease and rhythm disorders.
Open, endovascular and hybrid methods are used to treat aortic disease. The clinic performs valve-sparing operations, aortic replacement, EVAR and TEVAR, and procedures with custom-made stent grafts.
The clinic performs diagnostic studies and coronary stenting, transcatheter aortic valve implantation, closure of septal defects and other procedures for structural heart disease. Intravascular imaging and functional flow assessment help evaluate complex coronary anatomy.
Specialists perform catheter treatment of rhythm disorders and implant and program pacemakers and other devices. The clinic is developing high-density mapping and modern radiofrequency ablation technology.
A separate area is the creation and reconstruction of vascular access for hemodialysis. The clinic also performs multilevel and hybrid vascular reconstructions, carotid artery surgery, and provide vascular support in complex cancer operations.
All studies are performed by functional diagnostics doctors with basic training in cardiology. The results are used in the context of a specific clinical question and the planned treatment. For complex studies, specialists can check the findings right in the operating room — this link between diagnostics and daily surgical practice helps assess risk more accurately and choose the best intervention.
Treatment does not end on the day of discharge. Patients can continue to see the clinic's cardiologists in person or online, get recovery advice and therapy adjustments, have follow-up tests, and ask for an expert opinion if they feel worse. Warning signs after surgery are described in the guide to complications after heart surgery. The clinic also runs health schools and prepares materials that help patients understand each stage of treatment and make informed decisions together with their doctor.
Clinical work is combined with the research and teaching of Saint Petersburg State University. The clinic's specialists:
SPbU has a Department of Cardiovascular Surgery based at the clinic. Teaching at the clinic rests on personal mentoring for every future doctor, step-by-step rotation through the units, and required participation in real clinical work and research.
The clinic recommends sending medical records to its specialists for a preliminary review if the patient has:
The team will review the existing tests, decide whether more diagnostics are needed and outline possible treatment routes. How it works is described in How to get treatment; you can book an appointment online, and the clinic's doctors regularly see patients in other regions.
Yes. The clinic offers consultations with cardiologists, expert functional diagnostics and review of medical records. Whether surgery is needed is decided after the patient's condition has been studied.
Complex cases are reviewed by the Center's multidisciplinary team. The specialists compare test results, operative risk and the likely benefit of each option, and then propose an individual plan.
Yes. Records can be sent for a preliminary review remotely. The specialists will tell you whether further tests are needed and whether hospitalization is possible.
Yes. The clinic specializes, among other things, in combined conditions. The decision is made individually with the specialists the case requires.
Yes. After discharge, patients can continue to see the clinic's cardiologists in person or online, have follow-up tests and get recovery advice.
The main hospital is at Saint Petersburg, Fontanka River Embankment 154 B. For questions about hospitalization call +7 (812) 676-25-14 or send records to hospital@spbu.ru.
Book an online talk or get in touch with our administrators. We'll help you choose the right specialist, answer any organizational questions, and explain how to prepare for the consultation.