Vrozhdennye poroki serdtsa (VPS) ostayutsya odnoy iz samykh klyuchevykh problem zdravookhraneniya i obshchestva v tselom. V poslednie gody, vsledstvie vnedreniya novykh tekhnologiy v prakticheskuyu kardiokhirurgiyu, so storony nauchnoy obshchestvennosti, osobyy interes vyzyvaet izuchenie slozhnykh VPS, kotorye do poslednego vremeni schitalis' neoperabel'nymi. K takim porokam, v chastnosti otnositsya transpozitsiya magistral'nykh sosudov. Slozhnost' lecheniya etikh porokov zaklyuchaetsya v neobkhodimosti pravil'no otsenit' ...
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Vrozhdennye poroki serdtsa (VPS) ostayutsya odnoy iz samykh klyuchevykh problem zdravookhraneniya i obshchestva v tselom. V poslednie gody, vsledstvie vnedreniya novykh tekhnologiy v prakticheskuyu kardiokhirurgiyu, so storony nauchnoy obshchestvennosti, osobyy interes vyzyvaet izuchenie slozhnykh VPS, kotorye do poslednego vremeni schitalis' neoperabel'nymi. K takim porokam, v chastnosti otnositsya transpozitsiya magistral'nykh sosudov. Slozhnost' lecheniya etikh porokov zaklyuchaetsya v neobkhodimosti pravil'no otsenit' vozmozhnosti zheludochkov serdtsa v obespechenii adekvatnogo serdechnogo vybrosa. Eta otsenka dolzhna osnovyvat'sya na opredelenii vozmozhnykh vremennykh granits v vozrastnykh periodakh, blagopriyatnykh dlya provedeniya rezul'tativnoy korrektsii poroka serdtsa. Na cegodnyashniy den' eshche ne vpolne ustanovleny vzaimootnosheniya protsessov fiziologicheskogo rosta serdtsa i razvitiya kompensatornoy gipertrofii miokarda, osobenno v rannem periode zhizni. Poetomu khirurgicheskaya korrektsiya dolzhna byt' vypolnena v optimal'noy faze serdechnogo rosta, predraspolagayushchego k normal'noy funktsii zheludochkov, chto ustranit neblagopriyatnye effekty VPS na drugie zhiznenno vazhnye organy. Izuchenie etogo napravleniya i stalo ob"ektom nashego nauchnogo issledovaniya.
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