Atrial cardiopathy. Diagnosis of causes, treatment of complications and surgical correction of cardiac remodeling

Fedotkina YuA, Evseev EP, Komarov AL, et al. . Atrial cardiopathy. Diagnosis of causes, treatment of complications and surgical correction of cardiac remodeling. Russian Cardiology Bulletin. 2024;19(4):87‑94. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20241904187

Подписка 2026 Кардиологический вестник (Russian Cardiology Bulletin)

Использование инфографики авторами научных работ

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Left atrial reduction in mitral valve surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(4):460-470

Abstract:

The relationship between atrial fibrillation and thromboembolic syndrome and, above all, ischemic stroke is well known. Atrial cardiomyopathy is important for understanding the mechanisms of thrombogenicity. In this report, we consider diagnostic algorithm, surgical treatment of a patient with long-standing persistent atrial fibrillation, thromboembolic complications, severe mitral insufficiency and atriomegaly following myocarditis. Structural and functional cardiac remodeling with subsequent arrhythmias and heart failure is a serious problem in modern cardiology and cardiac surgery. Extensive cardiac surgery is extremely difficult and does not always lead to significant clinical improvement. However, quality of life is quite low without surgical treatment in such patients and associated with high risk of adverse cardiovascular events.

Keywords:

atrial cardiopathy

atriomegaly

thromboembolic complications

reconstruction of the mitral and tricuspid valves

Authors:

Fedotkina Yu.A.

Chazov National Medical Research Center of Cardiology

ORCID: 0000-0002-4562-1471

Evseev E.P.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-3806-9658

Komarov A.L.

Chazov National Medical Research Center of Cardiology

ORCID: 0000-0001-9141-103X

Makeev M.I.

Chazov National Medical Research Center of Cardiology

ORCID: 0000-0002-4779-5088

Frolova Yu.V.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-8546-5952

Panchenko E.P.

Chazov National Medical Research Center of Cardiology

ORCID: 0000-0002-1174-2574

Fomin M.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0002-7555-3633

Aidamirov Ya.A.

Petrovsky National Research Center of Surgery

ORCID: 0000-0003-3870-1040

Savina V.Yu.

Petrovsky National Research Center of Surgery

ORCID: 0000-0003-3494-2867

Received:

26.12.2023

Accepted:

03.06.2024

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References:

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