kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2024-13-4S-208-216kpccz-1060Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОР. Сердечно-сосудистая хирургияREVIEWS. Cardiovascular surgeryРОЛЬ УШКА ЛЕВОГО ПРЕДСЕРДИЯ В ПАТОГЕНЕЗЕ ФИБРИЛЛЯЦИИ ПРЕДСЕРДИЙ, ЭФФЕКТИВНОСТИ АБЛАЦИИ И РАЗВИТИИ ТРОМБОЭМБОЛИЧЕСКИХ ОСЛОЖНЕНИЙTHE ROLE OF THE LEFT ATRIAL APPENDAGE IN THE PATHOGENESIS OF ATRIAL FIBRILLATION, THE EFFECTIVENESS OF ABLATION AND THE DEVELOPMENT OF THROMBOEMBOLIC COMPLICATIONShttps://orcid.org/0000-0001-8068-7276ФилиппенкоАлексей ГермановичFilippenkoAlexey G.

кандидат медицинских наук врач – сердечно-сосудистый хирург федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

PhD, Cardiovascular Surgeon, Federal State Budgetary Institution “E. Meshalkin National Medical Research Center” of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

addifist@gmail.comhttps://orcid.org/0000-0003-1568-9472БелобородовВладимир ВикторовичBeloborodovVladimir V.

кандидат медицинских наук врач – сердечно-сосудистый хирург федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

PhD, Cardiovascular Surgeon, Federal State Budgetary Institution “E. Meshalkin National Medical Research Center” of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

https://orcid.org/0000-0002-5343-5070ЕлесинДмитрий АнатольевичElesinDmitry A.

кандидат медицинских наук врач – сердечно-сосудистый хирург федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

PhD, Cardiovascular Surgeon, Federal State Budgetary Institution “E. Meshalkin National Medical Research Center” of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

https://orcid.org/0000-0002-9664-3558СтенинИлья ГеннадьевичSteninIlya G.

кандидат медицинских наук врач – сердечно-сосудистый хирург федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

PhD, Cardiovascular Surgeon, Federal State Budgetary Institution “E. Meshalkin National Medical Research Center” of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

https://orcid.org/0000-0002-8438-4085ШироковаНаталия ВасильевнаShirokovaNatalia V.

доктор медицинских наук врач-кардиолог федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

MD, PhD, Cardiologist, Federal State Budgetary Institution “E. Meshalkin National Medical Research Center” of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

https://orcid.org/0000-0002-1631-8617БарановаВера ВикторовнаBaranovaVera V.

кандидат медицинских наук врач-кардиолог федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

PhD, Cardiologist at the Federal State Budgetary Institution “E. Meshalkin National Medical Research Center” of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

https://orcid.org/0000-0001-9066-3227ШабановВиталий ВикторовичShabanovVitaly V.

кандидат медицинских наук врач – сердечно-сосудистый хирург, заведующий отделением хирургического лечения сложных нарушений ритма сердца и электрокардиостимуляции федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

PhD, Cardiovascular Surgeon, Head of the Department of Surgical Treatment of Complex Cardiac Arrhythmias and Cardiac stimulation at the Federal State Budgetary Institution “E. Meshalkin National Medical Research Center” of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской ФедерацииРоссияFederal State Budgetary Institution “E. Meshalkin National Medical Research Center” of the Ministry of Health of the Russian FederationRussian Federation202428122024134S208216Copyright © Филиппенко А.Г., Белобородов В.В., Елесин Д.А., Стенин И.Г., Широкова Н.В., Баранова В.В., Шабанов В.В., 20252025Филиппенко А.Г., Белобородов В.В., Елесин Д.А., Стенин И.Г., Широкова Н.В., Баранова В.В., Шабанов В.В.Filippenko A.G., Beloborodov V.V., Elesin D.A., Stenin I.G., Shirokova N.V., Baranova V.V., Shabanov V.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/1060Основные положения

Основные положения

Резекция ушка левого предсердия является безопасным и эффективным методом его выключения из кровотока, снижает количество ишемических событий головного мозга, увеличивает эффективность лечения фибрилляции предсердий.

 

 

Резюме

Резюме

Ушко левого предсердия в некоторых случаях, согласно ряду исследований, может быть источником фибрилляции предсердий. Более того, при тахиаритмиях предсердий ушко служит основным источником тромбозов, обусловливающих ишемические события головного мозга. В попытках решить эти две проблемы были разработаны устройства для исключения ушка левого предсердия из кровотока и предприняты попытки аблации аритмогенных зон данного образования. Целью представленного обзора является анализ современных данных литературы по указанной проблематике и собственного опыта резекции ушка левого предсердия при торакоскопической аблации легочных вен у пациентов с персистирующей формой фибрилляции предсердий.

Highlights

Highlights

Left atrial appendage resection is a safe and effective method of excluding the appendage from the systemic circulation, it reduces the number of cerebral ischemic events and increases the effectiveness of atrial fibrillation treatment.

 

 

Abstract

Abstract

According to a number of studies, left atrial appendage can be the source of atrial fibrillation. Moreover, in atrial tachyarrhythmias, the appendage is the main source of thrombosis that causes cerebral ischemic events. In an attempt to solve these two issues, specialists developed various devices to exclude the left atrial appendage from the systemic circulation and attempted to ablate the arrhythmogenic area. The aim of this review is to analyze current literature data on the abovementioned issues and our own experience of left atrial appendage resection during thoracoscopic pulmonary vein ablation in patients with persistent atrial fibrillation.

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