vtioВестник трансплантологии и искусственных органовRussian Journal of Transplantology and Artificial Organs1995-1191Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation10.15825/1995-1191-2021-1-131-139vtio-1324Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWSОсобенности развития и течения перикардиального выпота у пациентов после трансплантации сердцаPostoperative pericardial effusion: peculiarities of the development and courseКирьяковК. С.KiriakovK. S.

Кирьяков Кирилл Сергеевич.

123182, Москва, ул. Щукинская, д. 1.

Тел. (499) 190-60-34

Kirill Kiriakov.

1, Shchukinskaya str., Moscow, 123182.

Phone: (499) 190-60-34

Kiriakovmd@gmail.comЗахаревичВ. М.ZakharevichV. M.

Москва.

Moscow.

ХалилулинТ. А.KhalilulinT. A.

Москва.

Moscow.

ЗахаревичН. Ю.ZakharevichN. Y.

123182, Москва, ул. Щукинская, д. 1.

1, Shchukinskaya str., Moscow, 123182.

АбрамоваН. Н.AbramovaN. N.

123182, Москва, ул. Щукинская, д. 1.

1, Shchukinskaya str., Moscow, 123182.

ПоздняковО. А.PozdnyakovO. A.

123182, Москва, ул. Щукинская, д. 1.

1, Shchukinskaya str., Moscow, 123182.

Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова Минздрава РоссииРоссияShumakov National Medical Research Center of Transplantology and Artificial OrgansRussian FederationНациональный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова Минздрава России; Первый Московский государственный медицинский университет имени И.М. Сеченова Минздрава России (Сеченовский университет)РоссияShumakov National Medical Research Center of Transplantology and Artificial Organs; Sechenov UniversityRussian Federation202110042021231131139Copyright © Кирьяков К.С., Захаревич В.М., Халилулин Т.А., Захаревич Н.Ю., Абрамова Н.Н., Поздняков О.А., 20212021Кирьяков К.С., Захаревич В.М., Халилулин Т.А., Захаревич Н.Ю., Абрамова Н.Н., Поздняков О.А.Kiriakov K.S., Zakharevich V.M., Khalilulin T.A., Zakharevich N.Y., Abramova N.N., Pozdnyakov O.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.transpl.ru/vtio/article/view/1324

На сегодняшний день трансплантация сердца является «золотым стандартом» лечения терминальной хронической сердечной недостаточности. Как и любое кардиохирургическое вмешательство, трансплантация сердца сопряжена с развитием послеоперационных осложнений. Одним из наиболее частых осложнений является развитие послеоперационного перикардиального выпота. Пациенты после трансплантации сердца имеют больший риск развития перикардиального выпота, чем пациенты после кардиохирургических вмешательств на собственном сердце, ввиду хирургических и иммунологических особенностей. Выраженные перикардиальные эффузии отрицательно влияют на течение послеоперационного периода и могут быть причиной жизнеугрожающих состояний. Выявление факторов риска, профилактика, ранняя диагностика и лечение этой патологии могут существенно снизить риски нежелательных событий у данной группы пациентов. Целью данного обзора литературы является анализ развития и течения перикардиальных эффузий у пациентов после трансплантации сердца в мировой практике.

Heart transplantation continues to be the gold standard treatment for end-stage chronic heart failure. As with any cardiac surgery, heart transplantation is associated with postoperative complications. One of the most common complications is postoperative pericardial effusion. Heart recipients have a greater risk of developing pericardial effusion than patients after cardiac surgery on their own heart, due to surgical and immunological features. Severe pericardial effusions negatively affect the postoperative period and may be the cause of life-threatening conditions. Identification of risk factors, prevention, early diagnosis and treatment of this disease can significantly reduce the risks of adverse events in this group of patients. The purpose of this literature review is to analyze the development and course of pericardial effusion in heart recipients in world practice.

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The authors declare that there are no conflicts of interest present.