kpcczКомплексные проблемы сердечно-сосудистых заболеванийComplex Issues of Cardiovascular Diseases2306-12782587-9537Federal State Budgetary Institution “Research Institute for Complex Issues of Cardiovascular Diseases”10.17802/2306-1278-2025-14-6-130-141kpccz-1639Research ArticleАНАЛИТИЧЕСКИЙ ОБЗОР. Сердечно-сосудистая хирургияREVIEWS. Cardiovascular surgery«ОТКРЫТАЯ» ХИРУРГИЯ ФИБРИЛЛЯЦИИ ПРЕДСЕРДИЙ: ОТ ИСТОКОВ К СОВРЕМЕННОСТИ (ОБЗОР ЛИТЕРАТУРЫ)OPEN SURGERY FOR ATRIAL FIBRILLATION: FROM HISTORICAL ORIGINS TO CONTEMPORARY APPROACHES (A REVIEW ARTICLE)https://orcid.org/0000-0001-9437-908XЗакировИлшат РифовичZakirovIlshat R.

кандидат медицинских наук врач – сердечно-сосудистый хирург кардиохирургического отделения государственного автономного учреждения здравоохранения «Альметьевская межрайонная многопрофильная больница» Министерства здравоохранения Российской Федерации, Альметьевск, Российская Федерация

PhD, Cardiovascular Surgeon, Cardiosurgical Department, State Autonomous Healthcare Institution “Almetyevsk Interdistrict Multidisciplinary Hospital”, Ministry of Health of the Russian Federation, Almetyevsk, Russian Federation

zakirovir@yandex.ruhttps://orcid.org/0000-0002-2617-2447ПротопоповАндрей ВладимировичProtopopovAndrey V.

младший научный сотрудник научно-исследовательского отдела хирургии аорты, коронарных и периферических артерий института патологии кровообращения, врач – сердечно-сосудистый хирург кардиохирургического отделения № 2, аспирант 2-го года обучения направления сердечно-сосудистая хирургия федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

Junior research fellow at the Center for Surgery of the Aorta, Coronary and Peripheral Arteries, Cardiovascular Surgeon, Cardiosurgical Department №2, Postgraduade Student in Cardiovascular Surgery, Federal State Budgetary Institution “Meshalkin National Medical Research Center” of the Ministry of Health of Russian Federation, Novosibirsk, Russian Federation

andrew-uss@yandex.ruhttps://orcid.org/0000-0002-9940-3541СиротаДмитрий АндреевичSirotaDmitry A.

доктор медицинских наук заведующий научно-исследовательским отделом хирургии аорты, коронарных и периферических артерий института патологии кровообращения, врач – сердечно-сосудистый хирург КХО №2 федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация; доцент кафедры сердечно-сосудистой хирургии факультета повышения квалификации и профессиональной переподготовки федерального государственного бюджетного образовательного учреждения высшего образования «Новосибирский государственный медицинский университет» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

PhD, MD, Head of the Center for Surgery of the Aorta, Coronary and Peripheral Arteries, Cardiovascular Surgeon, Cardiosurgical Department №2, Federal State Budgetary Institution “Meshalkin National Medical Research Center” of the Ministry of Health of Russian Federation, Novosibirsk, Russian Federation; Associate Professor, Department of Cardiovascular Surgery at the Federal State Budgetary Educational Institution of Higher Education “Novosibirsk State Medical University” of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

https://orcid.org/0000-0001-9818-8678ЧернявскийАлександр МихайловичChernyavskiyAleksandr M.

член-корреспондент РАН, доктор медицинских наук, профессор генеральный директор федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация; заведующий кафедры сердечно-сосудистой хирургии федерального государственного бюджетного образовательного учреждения высшего образования «Новосибирский государственный медицинский университет» Министерства здравоохранения Российской Федерации, Новосибирск, Российская Федерация

PhD, MD, Corresponding Member of the Russian Academy of Sciences, Professor, General Director of the Federal State Budgetary Institution “Е. Meshalkin National Medical Research Center” of the Ministry of Health of Russian Federation, Novosibirsk, Russian Federation; Head of the Department of Cardiovascular Surgery at the Federal State Budgetary Educational Institution of Higher Education “Novosibirsk State Medical University” of the Ministry of Health of the Russian Federation, Novosibirsk, Russian Federation

amchern@mail.ruГосударственное автономное учреждение здравоохранения «Альметьевская межрайонная многопрофильная больница»РоссияState Autonomous Healthcare Institution “Almetyevsk Interdistrict Multidisciplinary Hospital”Russian FederationФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской ФедерацииРоссияFederal State Budgetary Institution “Meshalkin National Medical Research Center” of the Ministry of Health of Russian FederationRussian FederationФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени академика Е.Н. Мешалкина» Министерства здравоохранения Российской Федерации; Федеральное государственное бюджетное образовательное учреждение высшего образования «Новосибирский государственный медицинский университет» Министерства здравоохранения Российской Федерации Российской ФедерацииРоссияFederal State Budgetary Institution “Meshalkin National Medical Research Center” of the Ministry of Health of Russian Federation; Federal State Budgetary Educational Institution of Higher Education “Novosibirsk State Medical University” Ministry of Health of the Russian Federation Russian FederationRussian Federation202530122025146130141Copyright © Закиров И.Р., Протопопов А.В., Сирота Д.А., Чернявский А.М., 20252025Закиров И.Р., Протопопов А.В., Сирота Д.А., Чернявский А.М.Zakirov I.R., Protopopov A.V., Sirota D.A., Chernyavskiy A.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.nii-kpssz.com/jour/article/view/1639Основные положения

Основные положения

 

 

Резюме

Резюме

Фибрилляция предсердий, являясь наиболее распространенной устойчивой аритмией, представляет значимую проблему для кардиохирургии. «Открытые» хирургические методы, возникшие с разработкой процедуры Cox-Maze в 1980-х гг., направлены на устранение очагов аритмии через создание контролируемых линий аблации. Современная «открытая» хирургия фибрилляции предсердий стало возможной благодаря внедрению энергетических методов аблации, таких как радиочастотная и криоаблация, позволяющих формировать трансмуральные поражения с меньшей инвазивностью. Данный обзор посвящен историческим аспектам развития фибрилляции предсердий и методам ее коррекции.

Highlights

Highlights

 

 

Abstract

Abstract

Atrial fibrillation, as the most prevalent sustained cardiac arrhythmia, remains a significant challenge in cardiac surgery. Open surgical approaches, originating with the development of the Cox-Maze procedure in the 1980s, aim to eliminate ectopic foci by creating controlled ablation lines. Modern open surgery for atrial fibrillation has evolved through the integration of energy-based ablation modalities, such as radiofrequency and cryoablation, which enable the formation of transmural lesions with reduced invasiveness. The purpose of this review article is to provide an overview of the historical development of surgical interventions for atrial fibrillation.

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