Алгоритм выбора хирургической коррекции патологии корня аорты

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Сегодня процедура Bentall—DeBono остается самой распространенной операцией при патологии корня аорты, однако не лишена недостатков. Современная хирургия корня аорты преследует следующие цели: радикальность, продолжение жизни и улучшение ее качества. Различные виды клапаносохраняющих операций, а также клапанозамещающие процедуры на корне аорты имеют свои преимущества и недостатки. Цель обзора — определить конкуретные преимущества каждой из операций на корне аорты и разработать алгоритм их применения. Проанализированы операции на корне аорты, лишенные протез-индуцированных недостатков. Акцент сделан на клапаносохраняющих операциях, однако также рассмотрены процедура Ross и процедура «Русский кондуит» при невозможности сохранения или сомнениях в долговечности удовлетворительной функции аортального клапана.

Ключевые слова:

корень аорты

аортальная недостаточность

клапаносохраняющая операция

процедура Ross

«Русский кондуит»

аневризма аорты

Авторы:

Комаров Р.Н.

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский университет)

ORCID: 0000-0002-3904-6415

Ногинов В.К.

ГБУЗ «Ленинградская областная клиническая больница»

Чернявский С.В.

ORCID: 0000-0002-1564-9182

Дзюндзя А.Н.

ORCID: 0000-0003-1133-8106

Ленковец М.

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова»

Дата поступления:

04.06.2022

Дата принятия в печать:

09.08.2022

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