Научно-практический журнал
«Клиническая физиология кровообращения»

ISSN 1814-6910 (Print)
ISSN 2410-9134 (Online)

 

Главный редактор

Лео Антонович Бокерия, доктор медицинских наук, профессор, академик РАН и РАМН, президент ФГБУ «НМИЦ ССХ им. А.Н. Бакулева» МЗ РФ


Каталог статей ➤ КФК. 2023; 20 (3): 203-320 ➤ Анестезия и интенсивная терапия при легочной эндартерэктомии у пациентов с хронической тромбоэмболической легочной гипертензией

Анестезия и интенсивная терапия при легочной эндартерэктомии у пациентов с хронической тромбоэмболической легочной гипертензией

Авторы: Диасамидзе К.Э., Рыбка М.М., Рахмонов К.Х.

Организация:
ФГБУ «Национальный медицинский исследовательский центр сердечно-сосудистой хирургии им. А.Н. Бакулева» Минздрава России, Москва, Российская Федерация

Для корреспонденции: Сведения доступны для зарегистрированных пользователей.

Раздел: Обзоры

DOI: https://doi.org/10.24022/1814-6910-2023-20-3-266-277

УДК: 616.12-008.331.1-089.5

Библиографическая ссылка: Клиническая физиология кровообращения. 2023; 3 (20): 266-277

Цитировать как: Диасамидзе К.Э., Рыбка М.М., Рахмонов К.Х. . Анестезия и интенсивная терапия при легочной эндартерэктомии у пациентов с хронической тромбоэмболической легочной гипертензией. Клиническая физиология кровообращения. 2023; 3 (20): 266-277. DOI: 10.24022/1814-6910-2023-20-3-266-277

Поступила / Принята к печати:  25.06.2023 / 25.07.2023

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Аннотация

Хроническая тромбоэмболическая легочная гипертензия (ХТЭЛГ) возникает в результате рецидива или неполного разрешения легочной эмболии. ХТЭЛГ встречается гораздо чаще, чем принято считать. Установлено, что у 10% пациентов с острой тромбоэмболией легочных артерий в течение первых двух лет развивается ХТЭЛГ. Отсутствие своевременного лечения может привести к правожелудочковой недостаточности и смерти. Крайне важно, чтобы все пациенты с легочной гипертензией (ЛГ) проходили скрининг на наличие ХТЭЛГ, поскольку эта форма ЛГ потенциально излечима с помощью операции легочной тромбэндартерэктомии. Успех этой операции в значительной степени зависит от взаимодействия специалистов разного профиля, включает терапию легочной патологии, кардиоторакальную хирургию, кардиоанестезиологию и кардиореанимацию.
Обзор посвящен проблеме анестезии и раннего послеоперационного лечения данной категории пациентов.

Литература

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Об авторах

  • Диасамидзе Кахабер Энверович, д-р мед. наук, вед. науч. сотр.; ORCID
  • Рыбка Михаил Михайлович, д-р мед. наук, заместитель директора по анестезиологии и реанимации, заведующий отделом анестезиологии, реанимации и интенсивной терапии; ORCID
  • Рахмонов Комолиддин Хайдарович, канд. мед. наук, врач – сердечно-сосудистый хирург; ORCID

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