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 Federation10.15825/1995-1191-2023-2-57-62vtio-1596Research ArticleТрансплантация сердца и вспомогательное кровообращениеHeart Transplantation and Assisted CirculationПлевро-перикардиальное окно как метод хирургической профилактики значимого перикардиального выпота у пациентов после трансплантации сердцаPericardial window as a surgical method for preventing significant postoperative pericardial effusionКирьяковК. С.KiryakovK. S.

Кирьяков Кирилл Сергеевич - сердечно-сосудистый хирург, 3-е кардиохирургическое отделение.

123182, Москва, ул. Щукинская, д. 1. Тел. (499) 190-60-34

Kirill Kiryakov

1, Shchukinskaya str., Moscow, 123182, Phone: (499) 190-60-34

Kiriakov23@gmail.comЗакирьяновА. Р.ZakiryanovA. R.

Москва

Moscow

ХалилулинТ. А.KhalilulinT. A.

Москва

Moscow

ЗахаревичН. Ю.ZakharevichN. Y.

Москва

Moscow

ПоздняковО. А.PozdnyakovO. A.

Москва

Moscow

ГольцА. М.GoltzА. M.

Москва

Moscow

ИвановД. С.IvanovD. S.

Москва

Moscow

СухачевА. А.SukhachevA. A.

Москва

Moscow

ЗахаревичВ. М.ZakharevichV. M.

Москва

Moscow

ФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава РоссииРоссияShumakov National Medical Research Center of Transplantology and Artificial OrgansRussian FederationФГБУ «Национальный медицинский исследовательский центр трансплантологии и искусственных органов имени академика В.И. Шумакова» Минздрава России; ФГАОУ ВО 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 Federation2023150720232525762Copyright © Кирьяков К.С., Закирьянов А.Р., Халилулин Т.А., Захаревич Н.Ю., Поздняков О.А., Гольц А.М., Иванов Д.С., Сухачев А.А., Захаревич В.М., 20232023Кирьяков К.С., Закирьянов А.Р., Халилулин Т.А., Захаревич Н.Ю., Поздняков О.А., Гольц А.М., Иванов Д.С., Сухачев А.А., Захаревич В.М.Kiryakov K.S., Zakiryanov A.R., Khalilulin T.A., Zakharevich N.Y., Pozdnyakov O.A., Goltz А.M., Ivanov D.S., Sukhachev A.A., Zakharevich V.M.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/1596

Перикардиальный выпот после кардиохирургического вмешательства является одним из наиболее распространенных осложнений. Процесс накопления значимого количества свободной жидкости в полости перикарда является многофакторным, и не всегда удается установить причину его развития. У пациентов после трансплантации сердца данное осложнение встречается чаще, чем у пациентов, перенесших реконструктивное кардиохирургическое вмешательство. Наличие гемодинамически значимой эффузии требует выполнения хирургической эвакуации жидкости из полости перикарда, что может сказываться на течении послеоперационного периода и увеличивать срок госпитализации пациентов. По этой причине разработка и широкое применение методов профилактики данного осложнения являются актуальными.

Postoperative pericardial effusion (PPE) represents a very common complication in cardiac surgery. Accumulation of a significant amount of free fluid in the pericardial cavity is a multifactorial process. Identifying the cause is not always possible. This complication occurs more frequently in patients after heart transplantation than in patients who underwent reconstructive cardiac surgery. Having hemodynamically significant effusion requires surgical evacuation of fluid from the pericardial cavity. This can affect the postoperative period and increase the length of stay at the hospital. For this reason, developing and ensuring widespread use of methods for prevention of this complication are urgent and relevant tasks.

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