Pathology of the myocardium and Transplant Department
Ковтун

Head of department
+380 (44) 291 61 77

Gavril Kovtun

Department of the heart muscle disease and transplantation of the human organs and tissues is considered to be one of the most important curative and diagnostic units of the Kiev city clinical hospital “Kiev city heart centre”. In the broad definition, myocardial pathology is determined as a change of the biochemical structure of the heart muscle that accompanies any heart muscle disease: ischemic heart disease, myocarditis, acquired heart disease, cardiomyopathies, arterial hypertension etc. It can not be determined as a particular diagnosis, but we have to consider, that any disease of the heart muscle is followed by dysmetabolic disorders in whole organism.

The department is equipped by modern diagnostic facilities of the expert-class that fulfill the requirements of the international standards.

The department is staffed by efficient specialists, who underwent postgraduate education and residency training in cardiac surgery in the leading European countries. Cardiac surgeons and cardiologists always participate in the international conferences and congresses that give an opportunity to implement modern medical achievements in the clinical practice, constantly improving the approach to the patient’s treatment.

The main work streams of the department

Diagnostics, medical therapy and surgical treatment of the patients with heart failure, caused by:

I Cardiomyopathies (CMP):

1 Primary cardiomyopathies:

a) Genetic
– Hypertrophic
– Arrhythmogenic right ventricular CMP/ dysplasia
– LV noncompaction
– Conduction system disease
– Glycogen storage diseases
– Ion channelopathies
– Long QT-syndrome
– Brugada syndrome
– Short QT syndrome

b) Acquired
– CMP inducted by myocarditis ()
– CPM inducted by stress (“Tako-Tsubo”)
– Peripartum (posrpartum) CMP
– CMP inducted by tachycardia

c) Mixed
– Dilated CMP
– Primary restrictive nonhypertrophic CMP 2. Вторинними кардіоміопатіями

II Ischemic heart disease (IHD)

1. Stable angina
2. Vasospastic angina (Prinzmetal)
3. Unstable angina
– a. New onset angina
– b. Progressive
– c. Early postinfarction
4. Acute myocardial infarction
5. Cardiosclerosis
6. Cardiac aneurism
7. Thrombogenesis in the heart chambers

III Pulmonary thromboembolism

1. Acute
2. Chronic, recurrent

IV Acquired heart disease with different stage and ethiology

1. Monovalvular (one valve lesion)
– a. Mitral valve disease
– b. Aortic valve disease
– c. Tricuspid valve disease

2. Combined heart valve disease (two and more valves lesion)
– a. Mitral-aortic disease
– b. Aortic-mitral disease
– c. Aortic-tricuspid disease
– d. Mitral-tricuspid disease
– e. Aortic-mitral-tricuspid disease

V. Acquired heart disease with comorbidity 

1. IHD
2. Obliterative disease of brachiocephalic arteries
3. Aneurism of the thoracic aorta

VI Decompensated heart diseases that require heart transplantation