microcirculationРегионарное кровообращение и микроциркуляцияRegional blood circulation and microcirculation1682-66552712-9756Academician I.P. Pavlov First St. Petersburg State Medical University10.24884/1682-6655-2019-18-1-24-30microcirculation-290Research ArticleОБЗОРЫREVIEWSОсобенности легочного кровотока и системной гемодинамики у пациентов с тотальным аномальным дренажем легочных венHemodynamic aspects of pulmonary and systemic bloodflow in patients with total anomalous pulmonary venous connectionМорозовА. А.MorozovA. A.

Морозов Александр Александрович – кандидат медицинских наук, кардиохирург

197341, Санкт-Петербург, ул. Аккуратова, д. 2

Morozov Aleksandr Aleksandrovich – Cand. Med. Sc., Cardiac Surgeon

97341, Saint-Petersburg, Akkuratova street, 2

morozov_aa@almazovcentre.ruМовсесянР. Р.MovsesyanR. R.

Мовсесян Рубен Рудольфович – доктор медицинских наук, профессор, член-корреспондент РАН, заведующий отделением кардиохирургии ДГБ № 1 Санкт-Петербурга, профессор кафедры педиатрии и детской кардиологии СЗГМУ им. И. И. Мечникова, главный детский кардиохирург Комитета по здравоохранению Санкт-Петербурга

198205, Санкт-Петербург, ул. Авангардная, д. 14 , лит. А, 195067, Санкт-Петербург, Пискаревский пр., д. 47

Movsesyan Ruben Rudol’fovich – Dr Med. Sc., Professor, Corresponding Member of Russian Academy of Sciences, Head of Department of Cardiac Surgery of Children’s City Hospital № 1, Professor, Department of Pediatrics and Pediatric Cardiology, Chief Pediatric Cardiac Surgeon of the Health Committee of Saint-Petersburg

198205, Saint-Petersburg, Avangardnaya street, 14 , А, 

195067, Saint-Petersburg, Piskarevskii street, 47

movses@bk.ruФедеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр имени В. А. Алмазова» Министерства здравоохранения Российской ФедерацииРоссияAlmazov National Medical Research CentreRussian FederationСанкт-Петербургское государственное бюджетное учреждение здравоохранения «Детская городская больница № 1»; Федеральное государственное бюджетное образовательное учреждение высшего образования «Северо-Западный государственный медицинский университет имени И. И. Мечникова» Министерства здравоохранения Российской ФедерацииРоссияSaint-Petersburg Children’s City Hospital № 1; North-Western State Medical University named after I. I. MechnikovRussian Federation2019020520191812430Copyright © Морозов А.А., Мовсесян Р.Р., 20192019Морозов А.А., Мовсесян Р.Р.Morozov A.A., Movsesyan R.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.microcirc.ru/jour/article/view/290

Настоящий обзор посвящен вопросам гемодинамики при тотальном аномальном дренаже легочных вен. Отражены особенности строения легочного венозного возврата, легочной и системной гемодинамики при различных типах порока, механизмы формирования обструкции. Показаны основные диагностические проблемы и задачи, в том числе на пренатальном уровне. Обсуждены принципы, результаты и нерешенные вопросы хирургического лечения порока, требующие дальнейшего изучения.

This review is focused on the problem of the hemodynamics in patients with total anomalous pulmonary venous connection. The article describes a structural features of the pulmonary venous return depending on the anatomical type, pulmonary and systemic hemodynamics, origin and effect of the pulmonary venous return obstruction on the hemodynamics. We presented basic diagnostic problems and principles, including prenatal level, and discussed trends, results and unsolved questions of the surgical treatment of the patients with total anomalous pulmonary venous connection.

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