Авторы
Елисеев И.Г.1, Лищук А.Н.1, Хавандеев М.Л.1, Гительзон Е.А. 2, Файбушевич А.Г.2
1 ФГБУ «Национальный медицинский исследовательский центр высоких медицинских технологий – Центральный военный клинический госпиталь им. А.А. Вишневского», Красногорск
2 ФГАОУ ВО «Российский университет дружбы народов им. Патриса Лумумбы», Москва
Аннотация
Традиционно операции на сердце выполнялись при помощи стернотомии. После разработки новых методов последовали процедуры протезирования клапанов и реваскуляризации миокарда при помощи торакотомии и гемистернотомии. С появлением транскатетерного протезирования аортального клапана и аортальных клапанов быстрого раскрытия возник вопрос о необходимости минимизации травмы при хирургической замене клапана. Приводятся данные об историческом развитии миниинвазивных доступов в кардиохирургии, а также предпринимается попытка сопоставить преимущества и недостатки разных методик.
Ключевые слова: стернотомия, миниинвазиваня кардиохирургия, мини-торакотомия, аортальный клапан, митральный клапан.
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