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 Federation10.15825/1995-1191-2021-1-157-161vtio-1327Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWSРеконструктивная клапансохраняющая хирургия корня аортыValve-sparing aortic root reconstructionИвановА. С.IvanovA. S.

123182, Москва, ул. Щукинская, д. 1.

1, Shchukinskaya str., Moscow, 123182.

АкоповГ. А.AkopovG. A.

123182, Москва, ул. Щукинская, д. 1.

1, Shchukinskaya str., Moscow, 123182.

ГовороваТ. Н.GovorovaT. N.

Говорова Туйаара Николаевна.

123182, Москва, ул. Щукинская, д. 1.

Тел. (985) 852-30-17

Tuyaara Govorova.

1, Shchukinskaya str., Moscow, 123182.

Phone: (985) 852-30-17

tuyagov@inbox.ruЛуговскийМ. К.LugovskyM. K.

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 Federation202110042021231157161Copyright © Иванов А.С., Акопов Г.А., Говорова Т.Н., Луговский М.К., 20212021Иванов А.С., Акопов Г.А., Говорова Т.Н., Луговский М.К.Ivanov A.S., Akopov G.A., Govorova T.N., Lugovsky M.K.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/1327

В данной статье рассмотрены современные основные подходы к хирургической технике реконструкции корня аорты, направленные на сохранение нативного клапана. Преимущества клапаносберегающих операций очевидны, так как они сопровождаются невысокой летальностью, более продолжительной выживаемостью, лучшим качеством жизни оперированных, поскольку экономят насосные резервы сердца и освобождают пациентов от постоянного приема прямых антикоагулянтов и лабораторного контроля системы гемостаза, а также других протезассоциированных специфических осложнений.

This paper reviews the current main approaches to valve-sparing aortic root reconstruction. The advantages of valve-sparing surgeries are obvious - low mortality, longer survival, better quality of life of the operated patients, since the techniques save the heart's pumping reserves and free the patient from continuous intake of direct-acting oral anticoagulants and laboratory control of the hemostasis system, as well as other prosthesis-associated specific complications.

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