cardiotomskСибирский журнал клинической и экспериментальной медициныSiberian Journal of Clinical and Experimental Medicine2713-29272713-265XTSU publishing10.29001/2073-8552-2018-33-1-27-32cardiotomsk-417Research ArticleОБЗОРЫ И ЛЕКЦИИREVIEWS AND LECTURESКЛИНИЧЕСКИЕ И ФУНДАМЕНТАЛЬНЫЕ АСПЕКТЫ ПРОТЕЗИРОВАНИЯ И ТРАНСЛОКАЦИИ ХОРД МИТРАЛЬНОГО КЛАПАНАCLINICAL AND FUNDAMENTAL ASPECTS OF PROSTHETICS AND TRANSLOCATION OF MITRAL VALVE CHORDSМакогончукИ. С.MakogonchukI. S.

аспирант, отделение сердечно-сосудистой хирургии 

634012, Томск, ул. Киевская, 111а 

Postgraduate Student, Cardiovascular Surgery Department

111а, Kievskaya str., Тоmsk, 634012

makogon4ukivan@yandex.ruЕвтушенкоВ. В.EvtushenkoV. V.

д-р мед. наук, ведущий научный сотрудник, отделение сердечно-сосудистой хирургии 

634012, Томск, ул. Киевская, 111а 

Dr. Sci. (Med.), Leading Researcher, Cardiovascular Surgery Department

111а, Kievskaya str., Тоmsk, 634012

ave@cardio-tomsk.ruЕвтушенкоА. В.EvtushenkoA. V.

канд. мед. наук, сердечно-сосудистый хирург, отделение сердечно-сосудистой хирургии 

634012, Томск, ул. Киевская, 111а 

Cand. Sci. (Med.), Cardiovascular Surgeon, Cardiovascular Surgery Department

111а, Kievskaya str., Тоmsk, 634012

evtushenko.vladimir@gmail.comНаучно-исследовательский институт кардиологии, Томский национальный исследовательский медицинский центр Российской академии наукРоссияCardiology Research Institute, Tomsk National Research Medical Center, Russian Academy of SciencesRussian Federation2018130520183312732Copyright © Макогончук И.С., Евтушенко В.В., Евтушенко А.В., 20182018Макогончук И.С., Евтушенко В.В., Евтушенко А.В.Makogonchuk I.S., Evtushenko V.V., Evtushenko A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.sibjcem.ru/jour/article/view/417

В данной статье приводится обзор современных методик лечения пролапса митрального клапана вследствие дегенерации. Медикаментозное лечение пациентов с пролапсом митрального клапана малоэффективно. Предпочтение в данном случае следует отдать хирургическому лечению. Показано, что при выборе тактики вмешательства важно учитывать не только наличие самой патологии, но и исходное функциональное состояние элементов подклапан- ного аппарата. Так, среди методов хирургического лечения протезирование клапана при данной патологии имеет значительные недостатки по сравнению с реконструктивной хирургией. Показано разнообразие техник пластики митрального клапана. Представлены преимущества и недостатки каждого из методов.

This article provides an overview of modern methods of treating prolapse of the mitral valve due to degeneration. Medical treatment of patients with mitral valve prolapse is ineffective. Preference in this case should be given to the surgical treatment. It is shown that while choosing tactics of intervention it is important to take into account not only the presence of the pathology itself, but also the initial functional state of the elements of the subvalvular apparatus. So, among the methods of surgical treatment, valve prosthesis in this pathology has significant disadvantages in comparison with reconstructive surgery. A variety of techniques for mitral valve plastic are shown. The advantages and disadvantages of each method are presented.

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