Annals of the Russian academy of medical sciencesAnnals of the Russian academy of medical sciencesВестник Российской академии медицинских наук0869-60472414-3545"Paediatrician" Publishers LLC835510.15690/vramn8355CARDIOLOGY AND CARDIOVASCULAR SURGERY: CURRENT ISSUESАКТУАЛЬНЫЕ ВОПРОСЫ КАРДИОЛОГИИ И СЕРДЕЧНО-СОСУДИСТОЙ ХИРУРГИИReview ArticleMinimally Invasive Surgery for Septal Defects Inchild: Literature ReviewМини-инвазивная хирургия септальных пороков сердца у детей (обзор литературы)https://orcid.org/0000-0003-1120-93634175-8013ShatalovKonstantin V.ШаталовКонстантин Валентинович
Russian Federation

MD, PhD, Professor

д.м.н., профессор

shatalovk@mail.ruhttps://orcid.org/0000-0002-3204-35618494-5070ArnautovaIrina V.АрнаутоваИрина Владимировна
Russian Federation

MD, PhD

д.м.н.

arnautova74@mail.ruhttps://orcid.org/0000-0001-8811-49318534-3197AbdurazakovMagomed A.АбдуразаковМагомед Абдуразакович
Russian Federation

MD, PhD

к.м.н.

walk_man7@mail.ruA.N. Bakulev National Medical Research Center of Cardiovascular SurgeryНациональный медицинский исследовательский центр сердечно-сосудистой хирургии им. А.Н. Бакулева240520237821141191703202317042023Copyright ©; 2023, "Paediatrician" Publishers LLCCopyright ©; 2023, Издательство "Педиатръ"2023"Paediatrician" Publishers LLCИздательство "Педиатръ"https://vestnikramn.spr-journal.ru/jour/about/submissionshttps://vestnikramn.spr-journal.ru/jour/article/view/8355

Nowadays a minimally invasive approach is a rapidly evolving strategy in particular in the field of congenital heart surgery. The main advantage of minimally invasive approaches is less trauma to a patient which positively effects early postoperative period and recovery after surgery. Own to continuous technological progress and growing experience minimally invasive approaches become widely used in cardiac surgery as well as in treatments of congenital heart defects. This review highlights the main problems and their potential solutions in using minimally invasive approaches in surgical treatment of atrial septal defect, ventricular septal defect, partial atrioventricular canal, partial anomalous pulmonary venous drainage. We describe specific considerations of cardiopulmonary bypass, operative techniques and results of minimally invasive approanes.

В настоящее время использование мини-инвазивных доступов стало неотъемлемой частью современной кардиохирургии, в том числе и в области хирургической коррекции врожденных пороков сердца. Основная цель применения мини-инвазивных доступов — достижение необходимого эффекта от операции с нанесением минимальной травмы пациенту, что, в свою очередь, ускоряет и облегчает восстановительный период после хирургического вмешательства. Благодаря непрерывному развитию технологий и накоплению огромного опыта в хирургии сердца, мини-инвазивные доступы становятся все более распространенными, в том числе и в педиатрической группе пациентов. Данный обзор отражает основные проблемы и пути их решения при использовании мини-инвазивных доступов в хирургическом лечении некоторых видов врожденных пороков сердца, таких как дефект межпредсердной и межжелудочковой перегородок, частичный аномальный дренаж легочных вен, частичная форма атриовентрикулярного канала. Описаны основные методики проведения искусственного кровообращения, техника операции с использованием мини-доступов и полученные результаты.

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