emcardioНеотложная кардиология и кардиоваскулярные рискиEmergency Cardiology and Cardiovascular Risks journal2616-633XБелорусский государственный медицинский университетemcardio-294Research ArticleОригинальные научные публикацииOriginal Scientific ResearchСтентирование выходного отдела правого желудочка как этапное паллиативное вмешательство перед проведением радикальной коррекции тетрады фалло у детейRight ventricle outflow tract stenting as a stage of palliative intervention before radical correction of fallot’s tetralogy in childrenЧерноглазП. Ф.CharnahlazP. F.ЛинникЮ. И.LinnikY. I.БашкевичА. В.BashkevichA. V.КорольковаЕ. В.KorolkovaE. V.СавчукА. И.SavchukA. I.ШевченкоН. С.ShevchenkoN. S.ДроздовскийК. В.DrozdovskiK. V.ГУ «РНПЦ детской хирургии»Republic centre of pediatric surgery20181411202521231236Copyright © Черноглаз П.Ф., Линник Ю.И., Башкевич А.В., Королькова Е.В., Савчук А.И., Шевченко Н.С., Дроздовский К.В., 20252025Черноглаз П.Ф., Линник Ю.И., Башкевич А.В., Королькова Е.В., Савчук А.И., Шевченко Н.С., Дроздовский К.В.Charnahlaz P.F., Linnik Y.I., Bashkevich A.V., Korolkova E.V., Savchuk A.I., Shevchenko N.S., Drozdovski K.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://emcardio.bsmu.by/jour/article/view/294

Разработать метод хирургического лечения тетрады Фалло у детей на основе рентгеноэндоваскулярного стентирования выходного одела правого желудочка (ВОПЖ). Методы. В статье приводится опыт проведения стентирования выносящего отдела правого желудочка 30 пациентам в возрасте 3,40 [0,92÷9,62] месяца с тетрадой Фалло перед выполнением этапа радикальной коррекции порока в РНПЦ детской хирургии в период с 2007 по 2017 гг. Результаты. В ходе проведения исследования был разработан метод рентгеноэндоваскулярного стентирования ВОПЖ у детей при тетраде Фалло как этапного паллиативного вмешательства перед радикальной коррекцией порока. Заключение. Установлено что стентирование ВОПЖ позволяет выполнить этапную коррекцию тетрады Фалло у маловесных пациентов из высокой группы риска; паллиативная этапная коррекция тетрады Фалло методом стентирования ВОПЖ характеризуется низкой частотой возникновения послеоперационных осложнений и более благоприятным течением послеоперационного периода в целом; стентирование ВОПЖ при тетраде Фалло позволяет достичь необходимого для выполнения радикальной коррекции врожденного порока развития ветвей легочной артерии; послеоперационная гемодинамика после стентирования ВОПЖ является более физиологичной.

The aim of the present study is to develop a method of surgical treatment of Fallot’s tetralogy in children on the basis of endovascular stenting of the right ventricle outflow tract. Methods. The article presents the experience of stenting the right ventricle outflow tract in 30 patients aged 3.40 [0.92 ÷ 9.62] months with Fallot’s tetralogy prior to the stage of radical correction of the defect in the Republic centre of pediatric surgery within the period from 2007 to 2017. Results. In the course of the study the method of endovascular stenting of the right ventricle outflow tract in children with Fallot’s tetralogy was developed as a stage of palliative intervention prior to radical correction of the defect. Conclusions. Stenting the right ventricle outflow tract has been found feasible as a stage of correcting Fallot’s tetralogy in low-weight patients from a high-risk group. This type of correction by means of stenting is characterized by a low incidence of postoperative complications and a more favorable postoperative course in general. Stenting the right ventricle outflow tract in children with Fallot’s tetralogy makes it possible to achieve the appropriate size of the pulmonary artery branches necessary for the radical correction of the defect. Postoperative hemodynamics after stenting is more physiological.

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