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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">vtio</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник трансплантологии и искусственных органов</journal-title><trans-title-group xml:lang="en"><trans-title>Russian Journal of Transplantology and Artificial Organs</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1995-1191</issn><publisher><publisher-name>Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15825/1995-1191-2024-1-178-190</article-id><article-id custom-type="elpub" pub-id-type="custom">vtio-1709</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Смежные дисциплины</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Related Disciplines</subject></subj-group></article-categories><title-group><article-title>Структурная эволюция механических моделей искусственных клапанов сердца (обзор)</article-title><trans-title-group xml:lang="en"><trans-title>Structural evolution of mechanical heart valves (review)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лепилин</surname><given-names>М. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Lepilin</surname><given-names>M. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> 630055, Новосибирск, ул. Речкуновская, д. 15</p></bio><bio xml:lang="en"><p>15, Rechkunovskaya str., Novosibirsk, 630055</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Богачев-Прокофьев</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Bogachev-Prokophiev</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p> 630055, Новосибирск, ул. Речкуновская, д. 15</p></bio><bio xml:lang="en"><p>15, Rechkunovskaya str., Novosibirsk, 630055</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жульков</surname><given-names>М. О.</given-names></name><name name-style="western" xml:lang="en"><surname>Zhulkov</surname><given-names>М. О.</given-names></name></name-alternatives><bio xml:lang="ru"><p> 630055, Новосибирск, ул. Речкуновская, д. 15</p></bio><bio xml:lang="en"><p>15, Rechkunovskaya str., Novosibirsk, 630055</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хван</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Khvan</surname><given-names>D. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p> 630055, Новосибирск, ул. Речкуновская, д. 15</p></bio><bio xml:lang="en"><p>15, Rechkunovskaya str., Novosibirsk, 630055</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сирота</surname><given-names>Д. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Sirota</surname><given-names>D. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> 630055, Новосибирск, ул. Речкуновская, д. 15</p></bio><bio xml:lang="en"><p>15, Rechkunovskaya str., Novosibirsk, 630055</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Макаев</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Makaev</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p> 630055, Новосибирск, ул. Речкуновская, д. 15</p></bio><bio xml:lang="en"><p>15, Rechkunovskaya str., Novosibirsk, 630055</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Протопопов</surname><given-names>А. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Protopopov</surname><given-names>A. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p> 630055, Новосибирск, ул. Речкуновская, д. 15</p></bio><bio xml:lang="en"><p>15, Rechkunovskaya str., Novosibirsk, 630055</p></bio><email xlink:type="simple">andrew-uss@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гренадеров</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Grenadyorov</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Томск</p></bio><bio xml:lang="en"><p>Tomsk</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Агаева</surname><given-names>Х. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Agaeva</surname><given-names>Kh. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p> 630055, Новосибирск, ул. Речкуновская, д. 15</p></bio><bio xml:lang="en"><p>15, Rechkunovskaya str., Novosibirsk, 630055</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чернявский</surname><given-names>А. М.</given-names></name><name name-style="western" xml:lang="en"><surname>Chernyavskiy</surname><given-names>A. М.</given-names></name></name-alternatives><bio xml:lang="ru"><p> 630055, Новосибирск, ул. Речкуновская, д. 15</p></bio><bio xml:lang="en"><p>15, Rechkunovskaya str., Novosibirsk, 630055</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Meshalkin National Medical Research Center</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ФГБУ «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Минздрава России;&#13;
ФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Meshalkin National Medical Research Center;&#13;
Novosibirsk State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>ФГБУН «Институт сильноточной электроники Сибирского отделения Российской академии наук»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute of High Current Electronics</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2024</year></pub-date><pub-date pub-type="epub"><day>13</day><month>11</month><year>2023</year></pub-date><volume>26</volume><issue>1</issue><fpage>178</fpage><lpage>190</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Лепилин М.А., Богачев-Прокофьев А.В., Жульков М.О., Хван Д.С., Сирота Д.А., Макаев А.Г., Протопопов А.В., Гренадеров А.С., Агаева Х.А., Чернявский А.М., 2024</copyright-statement><copyright-year>2024</copyright-year><copyright-holder xml:lang="ru">Лепилин М.А., Богачев-Прокофьев А.В., Жульков М.О., Хван Д.С., Сирота Д.А., Макаев А.Г., Протопопов А.В., Гренадеров А.С., Агаева Х.А., Чернявский А.М.</copyright-holder><copyright-holder xml:lang="en">Lepilin M.A., Bogachev-Prokophiev A.V., Zhulkov М.О., Khvan D.S., Sirota D.A., Makaev A.G., Protopopov A.V., Grenadyorov A.S., Agaeva K.A., Chernyavskiy A.М.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://journal.transpl.ru/vtio/article/view/1709">https://journal.transpl.ru/vtio/article/view/1709</self-uri><abstract><p>Протезы клапанов сердца являются широко используемыми биомедицинскими устройствами. Потребность в этих протезах возрастает в связи с увеличением продолжительности жизни популяции в целом и как следствие частоты развития возрастных дегенеративных пороков клапанного аппарата. Однако несмотря на то что механические протезы были значительно модернизированы за последние десятилетия, их использование по-прежнему сопряжено с развитием целого ряда жизнеугрожающих осложнений, главным из которых является тромбоз. Решение данной проблемы является трудной задачей и требует сотрудничества в области биоинженерии и кардиоторакальной хирургии. Таким образом, проблема создания наиболее адаптированной модели искусственного клапана сердца оказывается на стыке наук – медицины, биологии, прикладной механики, математического моделирования и т. д. На сегодняшний день кажется очевидной полная «выработка» инженерных идей гемодинамической адаптации моделей ИКС. Однако исследования в области материаловедения, а также поиск методов поверхностной модификации остаются актуальной проблемой биоинжиниринга.</p></abstract><trans-abstract xml:lang="en"><p>Prosthetic heart valves are widely used biomedical devices. The need for these prostheses is increasing due to the increasing life expectancy of the general population and the consequent incidence of age-related degenerative valvular defects. However, even though mechanical prosthetic valves have been significantly modernized over the last decades, they are still associated with several life-threatening complications, the main one being thrombosis. Addressing this problem is challenging and requires collaboration between bioengineering and cardiothoracic surgery. Thus, the problem of creating the most adapted model of prosthetic heart valve (PHV) turns out to be at the confluence of sciences – medicine, biology, applied mechanics, mathematical modeling, etc. Today, it seems clear that the engineering ideas for hemodynamic adaptation of PHV models have been fully developed. However, research in the field of materials science, as well as a search for surface modification methods, remain a pressing bioengineering challenge.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>клапаны сердца</kwd><kwd>механические клапаны</kwd><kwd>приобретенные пороки сердца</kwd></kwd-group><kwd-group xml:lang="en"><kwd>heart valves</kwd><kwd>mechanical valves</kwd><kwd>acquired heart diseases</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование проведено в рамках гранта Министерства науки и высшего образования РФ № 075- 15-2022-823.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Iung B, Vahanian A. Epidemiology of valvular heart disease in the adult. Nat Rev Cardiol. 2011; 8 (3): 162–172. https://doi.org/10.1038/nrcardio.2010.202.</mixed-citation><mixed-citation xml:lang="en">Iung B, Vahanian A. 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