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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">kpccz</journal-id><journal-title-group><journal-title xml:lang="ru">Комплексные проблемы сердечно-сосудистых заболеваний</journal-title><trans-title-group xml:lang="en"><trans-title>Complex Issues of Cardiovascular Diseases</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2306-1278</issn><issn pub-type="epub">2587-9537</issn><publisher><publisher-name>Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.17802/2306-1278-2026-15-4-135-143</article-id><article-id custom-type="elpub" pub-id-type="custom">kpccz-1619</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>СЛУЧАЙ ИЗ ПРАКТИКИ. Сердечно-сосудистая хирургия</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CASE STUDY. Cardiovascular surgery</subject></subj-group></article-categories><title-group><article-title>ОПЫТ ПОВТОРНЫХ ИМПЛАНТАЦИЙ ОТЕЧЕСТВЕННЫХ БИОЛОГИЧЕСКИХ ПРОТЕЗОВ У ПАЦИЕНТА С ПОРОКОМ МИТРАЛЬНОГО КЛАПАНА. АНАЛИЗ ТАКТИКИ ЛЕЧЕНИЯ НА ПРИМЕРЕ КЛИНИЧЕСКОГО СЛУЧАЯ</article-title><trans-title-group xml:lang="en"><trans-title>EXPERIENCE IN REPEAT MITRAL VALVE REPLACEMENT USING DOMESTIC BIOPROSTHESES IN A PATIENT WITH MITRAL VALVE DEFECT. TREATMENT STRATEGY ANALYSIS: A CLINICAL CASE</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0154-323X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кузьмина</surname><given-names>Ольга Константиновна</given-names></name><name name-style="western" xml:lang="en"><surname>Kuzmina</surname><given-names>Olga K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук научный сотрудник лаборатории пороков сердца отдела хирургии сердца и сосудов федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация</p></bio><bio xml:lang="en"><p>PhD, Researcher at the Laboratory of Heart Defects, Department of Heart and Vascular Surgery, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation</p></bio><email xlink:type="simple">olga_shumilova@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0004-7313-3215</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Осинцев</surname><given-names>Евгений Сергеевич</given-names></name><name name-style="western" xml:lang="en"><surname>Osintsev</surname><given-names>Evgeny S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>клинический ординатор по специальности кардиология, лаборант-исследователь лаборатории пороков сердца отдела хирургии сердца и сосудов федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация</p></bio><bio xml:lang="en"><p>Clinical Resident (Cardiology), Research Assistant at the Laboratory of Heart Defects, Department of Heart and Vascular Surgery, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation</p></bio><email xlink:type="simple">josintsev@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0003-1868-2708</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иванов</surname><given-names>Лев Дмитриевич</given-names></name><name name-style="western" xml:lang="en"><surname>Ivanov</surname><given-names>Lev D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>клинический ординатор по специальности сердечно-сосудистой хирургии Федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация</p></bio><bio xml:lang="en"><p>Clinical Resident (Cardiovascular Surgery), Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation</p></bio><email xlink:type="simple">lovich2000@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0007-4276-2299</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Багакашвили</surname><given-names>Марха Гурамовна</given-names></name><name name-style="western" xml:lang="en"><surname>Bagakashvili</surname><given-names>Markha G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>клинический ординатор по специальности функциональная диагностика федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация</p></bio><bio xml:lang="en"><p>Clinical Resident (Functional Diagnostics), Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation</p></bio><email xlink:type="simple">markha1301@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0009-7715-1169</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Органова</surname><given-names>Елена Сергеевна</given-names></name><name name-style="western" xml:lang="en"><surname>Organova</surname><given-names>Elena S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>клинический ординатор по специальности кардиология федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация</p></bio><bio xml:lang="en"><p>Clinical Resident (Cardiology), Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation</p></bio><email xlink:type="simple">helenaorganova@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1137-8175</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кокорин</surname><given-names>Станислав Геннадьевич</given-names></name><name name-style="western" xml:lang="en"><surname>Kokorin</surname><given-names>Stanislav G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук врач – сердечно-сосудистый хирург, ведущий научный сотрудник лаборатории пороков сердца отдела хирургии сердца и сосудов федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация</p></bio><bio xml:lang="en"><p>PhD, Leading Researcher at the Laboratory of Bioprosthetic Replacement, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation</p></bio><email xlink:type="simple">kokosg@kemcardio.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1341-204X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стасев</surname><given-names>Александр Николаевич</given-names></name><name name-style="western" xml:lang="en"><surname>Stasev</surname><given-names>Alexander N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кандидат медицинских наук научный сотрудник лаборатории пороков сердца отдела хирургии сердца и сосудов федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация</p></bio><bio xml:lang="en"><p>PhD, Researcher at the Laboratory of Heart Defects, Department of Heart and Vascular Surgery, Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation</p></bio><email xlink:type="simple">stasev@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-4642-3610</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Барбараш</surname><given-names>Ольга Леонидовна</given-names></name><name name-style="western" xml:lang="en"><surname>Barbarash</surname><given-names>Olga L.</given-names></name></name-alternatives><bio xml:lang="ru"><p>доктор медицинских наук профессор академик РАН директор федерального государственного бюджетного научного учреждения «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний», Кемерово, Российская Федерация</p></bio><bio xml:lang="en"><p>PhD, MD, Professor, Member of the Russian Academy of Sciences, Director of the Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”, Kemerovo, Russian Federation</p></bio><email xlink:type="simple">barbol@kemcardio.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное научное учреждение «Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>04</day><month>09</month><year>2026</year></pub-date><volume>15</volume><issue>4</issue><fpage>135</fpage><lpage>143</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Кузьмина О.К., Осинцев Е.С., Иванов Л.Д., Багакашвили М.Г., Органова Е.С., Кокорин С.Г., Стасев А.Н., Барбараш О.Л., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Кузьмина О.К., Осинцев Е.С., Иванов Л.Д., Багакашвили М.Г., Органова Е.С., Кокорин С.Г., Стасев А.Н., Барбараш О.Л.</copyright-holder><copyright-holder xml:lang="en">Kuzmina O.K., Osintsev E.S., Ivanov L.D., Bagakashvili M.G., Organova E.S., Kokorin S.G., Stasev A.N., Barbarash O.L.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.nii-kpssz.com/jour/article/view/1619">https://www.nii-kpssz.com/jour/article/view/1619</self-uri><abstract><sec><title>Основные положения</title><p>Основные положения</p><p>Клинический случай описывает многократное использование отечественных биопротезов у пациента с пороков митрального клапана при первичном пороке митрального клапана, и при развитии дисфункции ранее имплантированного биопротеза.</p></sec><sec><title> </title><p> </p></sec><sec><title>Резюме</title><p>Резюме</p><p>Представлен клинический случай успешного многократного применения биопротезов отечественного производства при хирургическом лечении рецидивного порока митрального клапана у пациента молодого возраста; обсуждены преимущества и ограничения использования биологических протезов и подходов к реимплантации; представлен анализ приверженности к терапии как один из факторов, ограничивающих эффективность лечения пациентов с протезированными клапанами сердца.</p></sec></abstract><trans-abstract xml:lang="en"><sec><title>Highlights</title><p>Highlights</p><p>Presented clinical case describes repeat mitral valve replacement using domestic bioprostheses in a patient with mitral valve defect who had primary mitral regurgitation and subsequently developed bioprosthetic valve dysfunction.</p></sec><sec><title> </title><p> </p></sec><sec><title>Abstract</title><p>Abstract</p><p>Presented clinical case describes a successful repeat mitral valve replacement using domestic bioprostheses in the treatment of recurrent mitral valve regurgitation in a young patient, discusses the advantages and limitations of using biological prostheses and approaches to repeat replacement, and analyzes the adherence to therapy as one of the factors limiting the effectiveness of treatment of patients with bioprosthetic heart valves.</p></sec></trans-abstract><kwd-group xml:lang="ru"><kwd>Репротезирование</kwd><kwd>Митральный клапан</kwd><kwd>Биопротезы</kwd><kwd>Клапанная болезнь сердца</kwd><kwd>Приобретенные пороки сердца</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Repeat replacement</kwd><kwd>Mitral valve</kwd><kwd>Bioprostheses</kwd><kwd>Valvular heart disease</kwd><kwd>Acquired heart defects</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа выполнена в рамках темы ФНИ № 0419-2022-0001 (период выполнения 2022-2026 гг.) «Молекулярные, клеточные и биомеханические механизмы патогенеза сердечно-сосудистых заболеваний в разработке новых методов лечения заболеваний сердечно-сосудистой системы на основе персонифицированной фармакотерапии, внедрения малоинвазивных медицинских изделий, биоматериалов и тканеинженерных имплантатов», № госрегистрации 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