References

vtio

Вестник трансплантологии и искусственных органов

Russian Journal of Transplantology and Artificial Organs

1995-1191

Academician V.I.Shumakov National Medical Research Center of Transplantology and Artificial Organs", Ministry of Health of the Russian Federation

10.15825/1995-1191-2013-4-126-137

vtio-89

Research Article

Обзор литературы

Literature Reviews

МЕХАНИЗМЫ ПРАВОЖЕЛУДОЧКОВОЙ НЕДОСТАТОЧНОСТИ В УСЛОВИЯХ ЛЕВОЖЕЛУДОЧКОВОГО ВСПОМОГАТЕЛЬНОГО КРОВООБРАЩЕНИЯ И МЕТОДЫ БИВЕНТРИКУЛЯРНОГО ОБХОДА СЕРДЦА

MECHANISMS OF RIGHT VENTRICULAR FAILURE AND BIVENTRICULAR MECHANICAL CIRCULATORY SUPPORT

Иткин

Г. П.

Itkin

G. P.

Попцов

В. Н.

Poptsov

V. N.

Лаборатория биотехнических систем (зав. – д. б. н., проф. Г.П. Иткин) ФГБУ «Федеральный научный центр трансплантологии и искусственных органов им. акад. В.И. Шумакова» Минздрава России (директор – академик РАМН, проф. С.В. Готье), Москва, Российская ФедерацияBiotechnical systems laboratory (Head – doct. of biol. sci., prof. G.P. Itkin) of Academician V.I. Schumakov federal research center of transplantology and artificial organs (Head – academician of RAMSci, prof. S.V. Gautier), Moscow, Russian Federation

Отдел анестезиологии, реанимации и интенсивной терапии (зав. – проф. В.Н. Попцов) ФГБУ «Федеральный научный центр трансплантологии и искусственных органов им. акад. В.И. Шумакова» Минздрава России (директор – академик РАМН, проф. С.В. Готье), Москва, Российская ФедерацияDepartment of anesthesiology and intensive therapy (Head – prof. V.N. Poptsov) of Academician V.I. Schumakov federal research center of transplantology and artificial organs (Head – academician of RAMSci, prof. S.V. Gautier), Moscow, Russian Federation

2013

15052014

154

ВЕСТНИК ТРАНСПЛАНТОЛОГИИ И ИСКУССТВЕННЫХ ОРГАНОВ том XV No 4–2013

126137

2014

Иткин Г.П., Попцов В.Н.

Itkin G.P., Poptsov V.N.

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/89

В статье приведен обзор литертуры, посвященный проблемам механической поддержки кровооб- ращения с помощью левожелудочкового обхода в условиях тотальной сердечной недостаточности. Дисфункция правого желудочка во многом определяет высокую летальность при левожелудочковом обходе. Одним из эффективных методов решения данной проблемы является применение устройств для правожелудочкового обхода. Рассмотрены основные физиологические механизмы взаимодейс- твия правого и левого желудочков сердца, влияющие на функцию правых отделов сердца. Показана необходимость оценки функции правого желудочка до принятия решения о механической поддержке кровообращения. Приведены примеры определения предикторов развития правожелудочковой недо- статочности. Рассмотрены основные методы и устройства бивентрикулярной поддержки кровообра- щения.

The paper presents a review of the problems of mechanical circulatory support with left ventricular bypass in total cardiac failure. Dysfunction of right ventricular defines the high mortality on left ventricular device. One of the effective methods for solving this problem is the use of right ventricular assisted devices. There are considered of the basic physiological mechanisms of interaction between the right and left ventricles of the heart, affecting on the function of the right heart. Shows the need to assess right ventricular function before deciding on mechanical circulatory support. Provides examples of the estimation the predictors of the right ventricular failure. The basic methods and devices of biventricular circulatory support were con- sidered.

механическая поддержка кровообращенияпредикторы правожелудочковой недостаточностилевожелудочковый обходправожелудочковый обходбивентрикулярная поддержка кровообращениятрансплантация сердца.

mechanical support circulationpredictors of right ventricular failurethe left ventricular devicesthe right ventricular assisted devicebiventricular mechanical circulatory supportheart transplantation.

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