Vol. 30 No. 3 (2026)
CONGENITAL HEART DISEASES

Surgical Management of Congenital Heart Disease in the Russian Federation for 2025.

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  • Ilya A. Soynov,
  • Alexey I. Kim,
  • Ruben R. Movsesyan,
  • Pavel V. Teplov,
  • Aleksandr Yu. Miller,
  • Yuriy Yu. Kulyabin,
  • Aleksey N. Arkhipov,
  • Anton A. Avramenko,
  • Kirill V. Gorbatikov,
  • Artem V. Gorbatykh,
  • Konstantin A. Nalimov,
  • Mikhail A. Abramyan,
  • Maksim V. Boriskov,
  • Sergey A. Kovalev,
  • Andrey A. Svobodov,
  • Alena V. Kauk,
  • Evgeniy V. Krivoshchekov,
  • Aleksey A. Shikhranov,
  • Mikhail V. Plotnikov,
  • Oleg A. Egunov,
  • Vyacheslav A. Belov,
  • Igor V. Gladyshev,
  • Konstantin B. Kazantsev,
  • Oleg Yu. Kornoukhov,
  • Andrey V. Nokhrin,
  • Denis Yu. Petrushenko,
  • Evgeniy S. Efanov,
  • Ivan K. Khalivopulo,
  • Dmitriy V. Ryabtsev,
  • Yuriy A. Sobolev,
  • Vladimir N. Medvedev,
  • Roman Yu. Gavrilov,
  • Nikolay I. Pavlov,
  • Ekaterina N. Amansakhatova,
  • Evgeniy S. Tarasyuk
Ilya A. Soynov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Meshalkin National Medical Research Center, Ministry of Health of the Russian Federation
Alexey I. Kim
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; A.N. Bakulev National Medical Research Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Moscow, Russian Federation
Ruben R. Movsesyan
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Pediatric City Multidisciplinary Clinical Specialized Center for High Medical Technologies, St. Petersburg, Russian Federation
Pavel V. Teplov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Federal Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Krasnoyarsk, Russian Federation
Aleksandr Yu. Miller
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Federal Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Krasnoyarsk, Russian Federation
Yuriy Yu. Kulyabin
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; E.N. Meshalkin National Medical Research Center, Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation
Aleksey N. Arkhipov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Meshalkin National Medical Research Center, Novosibirsk, Russian Federation
Anton A. Avramenko
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; V.P. Polyakov Samara Regional Clinical Cardiology Dispensary, Samara, Russian Federation
Kirill V. Gorbatikov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation;Regional Clinical Hospital No. 1, Tyumen, Russian Federation
Artem V. Gorbatykh
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; V.A. Almazov National Medical Research Center, Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation
Konstantin A. Nalimov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Federal Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Khabarovsk, Russian Federation
Mikhail A. Abramyan
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Morozov Children’s City Clinical Hospital, Moscow Healthcare Department, Moscow, Russian Federation
Maksim V. Boriskov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Research Institute – Ochapovsky Regional Clinical Hospital No. 1, Krasnodar, Russian Federation
Sergey A. Kovalev
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Voronezh Regional Clinical Hospital No. 1, Voronezh, Russian Federation
Andrey A. Svobodov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; GBUZ MO «DNKTs im. L.M. Roshalya
Alena V. Kauk
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; E.N. Meshalkin National Medical Research Center, Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation
Evgeniy V. Krivoshchekov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Federal Center for High Medical Technologies, Ministry of Health of the Russian Federation, Kaliningrad, Russian Federation
Aleksey A. Shikhranov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Federal Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Penza, Russian Federation
Mikhail V. Plotnikov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Federal Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Astrakhan, Russian Federation
Oleg A. Egunov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Cardiology Research Institute, branch of the Tomsk National Research Medical Center of the Russian Academy of Sciences, Tomsk, Russian Federation
Vyacheslav A. Belov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; S.G. Sukhanov Federal Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Perm, Russian Federation
Igor V. Gladyshev
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Federal Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation, Chelyabinsk, Russian Federation
Konstantin B. Kazantsev
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Sverdlovsk Regional Clinical Hospital No. 1, Russian Federation
Oleg Yu. Kornoukhov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; N.F. Filatov Children’s City Clinical Hospital, Moscow Healthcare Department, Moscow, Russian Federation
Andrey V. Nokhrin
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Saint Petersburg State Pediatric Medical University, Ministry of Health of the Russian Federation, St. Petersburg, Russian Federation
Denis Yu. Petrushenko
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Children’s Republican Clinical Hospital, Ministry of Health of the Republic of Tatarstan, Russian Federation
Evgeniy S. Efanov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Irkutsk Order of the Badge of Honor Regional Clinical Hospital, Russian Federation
Ivan K. Khalivopulo
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Research Institute for Complex Issues of Cardiovascular Diseases, Ministry of Science and Higher Education of the Russian Federation
Dmitriy V. Ryabtsev
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; V.I. Shumakov National Medical Research Center of Transplantology and Artificial Organs, Ministry of Health of the Russian Federation
Yuriy A. Sobolev
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Children’s City Clinical Hospital No. 1, Nizhny Novgorod Region, Russian Federation
Vladimir N. Medvedev
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Irkutsk State Regional Children’s Clinical Hospital, Russian Federation
Roman Yu. Gavrilov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; Volgograd Regional Clinical Cardiology Center, Russian Federation
Nikolay I. Pavlov
Interregional Public Organization of Pediatric Cardiac Surgeons “Society of Congenital Heart Disease Specialists”, St. Petersburg, Russian Federation; M.E. Nikolaev Republic Hospital No. 1 – National Center of Medicine, Republic of Sakha (Yakutia), Russian Federation
Ekaterina N. Amansakhatova
E.N. Meshalkin National Medical Research Center, Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation
Evgeniy S. Tarasyuk
E.N. Meshalkin National Medical Research Center, Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation
DOI: https://doi.org/10.21688/1681-3472-2026-3-5-35

Published 2026-10-21

Keywords

  • congenital heart disease; database of patients undergoing surgery for cardiovascular disease; pediatric cardiac arrhythmias; pediatric cardiac surgery; pediatric cardiovascular surgery; surgical outcomes in congenital heart disease; transcatheter treatment of congenital heart disease

How to Cite

Soynov, I. A. ., Kim, A. I., Movsesyan, R. R., Teplov, P. V., Miller, A. Y. ., Kulyabin, Y. Y. ., Arkhipov, A. N. ., Avramenko, A. A. ., Gorbatikov, K. V. ., Gorbatykh, A. V. ., Nalimov, K. A. ., Abramyan, M. A. ., Boriskov, M. V. ., Kovalev, S. A., Svobodov, A. A., Kauk, A. V., Krivoshchekov, E. V., Shikhranov, A. A., Plotnikov, M. V., Egunov, O. A., Belov, V. A., Gladyshev, I. V., Kazantsev, K. B., Kornoukhov, O. Y. K., Nokhrin, A. V., Petrushenko, D. Y. ., Efanov, E. S., Khalivopulo, I. K., Ryabtsev, D. V. ., Sobolev, Y. A., Medvedev, V. N., Gavrilov, R. Y., Pavlov, N. I. P., Amansakhatova, E. N., & Tarasyuk, E. S. (2026). Surgical Management of Congenital Heart Disease in the Russian Federation for 2025. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 30(3), 5–35. https://doi.org/10.21688/1681-3472-2026-3-5-35

Copyright (c) 2026 Soynov et al.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Introduction: Systematic monitoring of outcomes in patients with congenital heart disease (CHD) is essential for improving the quality of care. Since 2024, a national multicenter digital registry designed to consolidate data from the country’s leading expert centers has been undergoing pilot implementation in the Russian Federation.

Objective: To assess surgical volumes, the distribution of diagnoses, and in-hospital mortality associated with treatment for CHD and cardiac arrhythmias in the Russian Federation using 2025 registry data.

Methods: We retrospectively analyzed de-identified data from 15,634 patients treated at 32 cardiac surgery centers in the Russian Federation that provide care to patients younger than 18 years with CHD. Procedural complexity was assessed using the RACHS II risk-stratification system. Outcomes were analyzed by age group, including neonates with low birth weight.

Results: Overall in-hospital mortality was 1.30% (vs. 1.42% in 2024). Open surgical procedures accounted for 48.3% of interventions, transcatheter procedures for 37.6%, and procedures for cardiac arrhythmias for 12.8%. The most common CHD diagnoses were atrial septal defect (23.96%), patent ductus arteriosus (22.42%), and ventricular septal defect (15.47%).
The highest mortality was observed among neonates undergoing surgery
with cardiopulmonary bypass (9.5%).

Conclusion: The 2025 data confirm a sustained decline in overall mortality
and support the effectiveness of implementing national standards. Further improvement in neonatal surgery for complex defects remains a priority. Implementation of a unified system enabling patient-level identification and personalized assessment of treatment effectiveness is also essential.

Received 8 July 2026. Revised 12 July 2026. Accepted 20 August 2026.

Funding

The study did not have sponsorship.

Conflict of Interest
The authors declare no conflict of interest.

Contribution of the authors
Conception and study design: I.A. Soynov, R.R. Movsesyan, P.V. Teplov, A.A. Svobodov, E.V. Krivoshchekov, E.S. Tarasyuk

Data collection and analysis: I.A. Soynov, A.Yu. Miller, Yu.Yu. Kulyabin, A.N. Arkhipov, A.A. Avramenko, K.V. Gorbatikov, A.V. Gorbatykh, K.A. Nalimov, S.A. Kovalev, A.A. Svobodov, A.A. Shikhranov, M.V. Plotnikov, O.A. Egunov, V.A. Belov, I.V. Gladyshev, K.B. Kazantsev, O.Yu. Kornoukhov, A.V. Nokhrin, D.Yu. Petrushenko, E.S. Efanov, I.K. Khalivopulo, D.V. Ryabtsev, Yu.A. Sobolev, V.N. Medvedev, R.Yu. Gavrilov, N.I. Pavlov

Statistical analysis: I.A. Soynov, P.V. Teplov, K.A. Nalimov, M.A. Abramyan, S.A. Kovalev

Drafting the article: I.A. Soynov, A.Yu. Miller, Yu.Yu. Kulyabin, A.A. Avramenko, K.V. Gorbatikov, A.V. Gorbatykh, K.A. Nalimov, A.V. Kauk, E.V. Krivoshchekov, E.N. Amansakhatova

Critical revision of the article: A.I. Kim, R.R. Movsesyan, M.A. Abramyan, E.V. Krivoshchekov, E.S. Tarasyuk

Final approval of the version to be published: all authors

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