cardiotomskСибирский журнал клинической и экспериментальной медициныSiberian Journal of Clinical and Experimental Medicine2713-29272713-265XTSU publishing10.29001/2073-8552-2024-39-2-28-35cardiotomsk-2306Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESТранскатетерное протезирование при бикуспидальном строении аортального клапана (обзор литературы)Transcatheter aortic valve implantation in patients with bicuspid aortic valve (literature review)https://orcid.org/0000-0001-8916-3671МкртычевД. С.MkrtychevD. S.

Мкртычев Давид Самвелович, аспирант, врач-сердечно-сосудистый хирург

121552, Москва, ул. акад. Е.И. Чазова, 15а

David S. Mkrtychev, Postgraduate Student, Cardiovascular Surgeon

15a, Akademika Chazova str., Moscow, 121552

david_97@mail.ruhttps://orcid.org/0000-0001-6908-7472КомлевА. Е.KomlevA. E.

Комлев Алексей Евгеньевич, врач-кардиолог, отдел сердечно-сосудистой хирургии, Институт клинической кардиологии им. ак. А.Л. Мясникова

121552, Москва, ул. акад. Е.И. Чазова, 15а

Alexey E. Komlev, Cardiologist, Department of Cardiovascular Surgery, Institute of Clinical Cardiology named after acad. A.L. Myasnikov

15a, Akademika Chazova str., Moscow, 121552

pentatonika@bk.ruhttps://orcid.org/0000-0002-5054-1310КолегаевА. С.KolegaevA. S.

Колегаев Александр Сергеевич, канд. мед. наук, старший научный сотрудник, врач-сердечно-сосудистый хирург, лаборатория гибридных методов лечения сердечно-сосудистых заболеваний, отдел сердечно-сосудистой хирургии, Института клинической кардиологии им ак. А.Л. Мясникова

121552, Москва, ул. акад. Е.И. Чазова, 15а

Alexander S. Kolegaev, Cand. Sci. (Med.), Senior Research Scientist, Cardiovascular Surgeon, Laboratory of Hybrid Methods of Treatment of Cardiovascular Diseases, Institute of Clinical Cardiology named after acad. A.L. Myasnikov

15a, Akademika Chazova str., Moscow, 121552

kolegaev-as@yandex.ruhttps://orcid.org/0000-0002-5736-5698ИмаевТ. Э.ImaevT. E.

Имаев Тимур Эмвярович, д-р мед. наук, главный научный сотрудник, руководитель лаборатории гибридных методов лечения сердечно-сосудистых заболеваний, отдел сердечно-сосудистой хирургии, Институт клинической кардиологии им. ак. А.Л. Мясникова

121552, Москва, ул. акад. Е.И. Чазова, 15а

Timur E. Imaev, Dr. Sci. (Med.), Chief Research Scientist, Head of the Laboratory of Hybrid Methods of Treatment of Cardiovascular Diseases, Department of Cardiovascular Surgery, Institute of Clinical Cardiology named after acad. A.L. Myasnikov

15a, Akademika Chazova str., Moscow, 121552

imaev.timur@mail.ruНациональный медицинский исследовательский центр кардиологии имени академика Е.И. Чазова Министерства здравоохранения Российской Федерации (НМИЦ кардиологии им. акад. Е.И. Чазова» Минздрава России)РоссияNational Medical Research Centre of Cardiology named after academician E.I. ChazovRussian Federation2024090720243922835Copyright © Мкртычев Д.С., Комлев А.Е., Колегаев А.С., Имаев Т.Э., 20242024Мкртычев Д.С., Комлев А.Е., Колегаев А.С., Имаев Т.Э.Mkrtychev D.S., Komlev A.E., Kolegaev A.S., Imaev T.E.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibjcem.ru/jour/article/view/2306

Транскатетерная имплантация аортального клапана (ТИАК) является технологией, которая позволяет быстро и эффективно произвести оперативное лечение при стенозе клапана аорты. Одной из причин возникновения аортального стеноза (АС) является врожденная патология, характеризуемая бикуспидальным строением аортального клапана. Данный порок долгое время считался абсолютным противопоказанием к проведению ТИАК, однако появление новых поколений клапанов, существующий хирургический опыт, а также более глубокое понимание анатомии таких клапанов позволяет эффективно и безопасно проводить транскатетерное протезирование у данной когорты пациентов. В данной статье рассмотрены существующие классификации бикуспидальных аортальных клапанов (БАК), особенности предоперационной подготовки, а также приведены результаты по существующим исследованиям ТИАК у пациентов с бикуспидальной морфологией.

Transcatheter aortic valve implantation (TAVI) is a technology that allows effective surgical treatment for aortic valve stenosis. One of the causes of aortic stenosis is a congenital pathology characterized by a bicuspidal structure of the aortic valve. This condition has long been considered an absolute contraindication to TAVI, however, the emergence of new generations of prostheses, surgical experience, as well as a deep understanding of the anatomy of bicuspid valves allows to perform TAVI in such patients. This article discusses the existing classifications of bicuspid aortic valves, the features of preoperative preparation, and also presents the results of existing studies of TAVI in patients with bicuspid morphology.

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