evrazkarЕвразийский Кардиологический ЖурналEurasian heart journal2225-16852305-0748Евразийская ассоциация кардиологов10.38109/2225-1685-2025-3-78-84evrazkar-6539Research ArticleОБЗОРREVIEWСовременные проблемы клапанных кондуитов у детей с сердечно-сосудистыми заболеваниямиModern problems of valvular conduits in children with cardiovascular diseaseshttps://orcid.org/0009-0008-3193-4160АмансахатоваЕ. Н.AmansakhatovaE. N.

Амансахатова Екатерина Назаровна, стажер-исследователь; студент 

 ул. Пирогова, дом 1, г. Новосибирск 630090 

Ekaterina N. Amansakhatova, Researcher intern, Meshalkin National Medical Research Center; Student 

1 Pirogova St., Novosibirsk 630090 

amansakhatova_e@meshalkin.ruhttps://orcid.org/0000-0002-1763-9535НичайН. Р.NichayN. R.

Ничай Наталья Романовна, к.м.н., научный сотрудник, врач сердечно-сосудистый хирург, кардиохирургическое отделение №1; ассистент кафедры сердечно-сосудистой хирургии, факультет повышения квалификации и профессиональной переподготовки врачей 

г. Новосибирск 

Nataliya R. Nichay, Cand. of Sci. (Med.), Researcher, Cardiovascular Surgeon, Cardiosurgical Department No. 1; Assistant Professor, Department of Cardiovascular Surgery, Faculty of Advanced Training and Professional Retraining of Doctors 

Novosibirsk 

https://orcid.org/0000-0002-2361-5847КулябинЮ. Ю.KulyabinYu.

Кулябин Юрий Юрьевич, к.м.н., научный сотрудник, врач сердечно-сосудистый хирург, кардиохирургическое отделение №1 

 г. Новосибирск 

Yury Yu. Kulyabin, Cand. of Sci. (Med.), Researcher, Cardiovascular Surgeon, Cardiosurgical Department No. 1 

https://orcid.org/0000-0001-8935-4216МагбуловаС. А.MagbulovaS. A.

Магбулова Сайхуна Ахмадовна, аспирант, врач сердечно-сосудистый хирург, кардиохирургическое отделение №1 

 г. Новосибирск 

Saihuna A. Magbulova, Postgraduate, Cardiovascular Surgeon, Cardiosurgical Department No. 1 

Novosibirsk 

https://orcid.org/0000-0003-3691-2848СойновИ. А.SoynovI. A.

Сойнов Илья Александрович, д.м.н., заведующий, научно-исследовательский отдел врожденных пороков сердца, врач сердечно-сосудистый хирург, кардиохирургическое отделение №1 

 г. Новосибирск 

Ilya A. Soynov, Dr. of Sci. (Med.), Head of the Research Department of Congenital heart defects, Cardiovascular Surgeon, Cardiosurgical Department No. 1 

Novosibirsk 

ФГБУ «НМИЦ им. ак. Е.Н. Мешалкина» Минздрава России; ФГАОУ ВО «Новосибирский национальный исследовательский государственный университет»РоссияNovosibirsk State UniversityRussian FederationФГБУ «НМИЦ им. ак. Е.Н. Мешалкина» Минздрава России; ФГБОУ ВО «НГМУ» Минздрава РоссииРоссияMeshalkin National Medical Research Center; Novosibirsk State Medical UniversityRussian FederationФГБУ «НМИЦ им. ак. Е.Н. Мешалкина» Минздрава РоссииРоссияMeshalkin National Medical Research Center, NovosibirskRussian FederationФГБУ «НМИЦ им. ак. Е.Н. Мешалкина» Минздрава РоссииРоссияMeshalkin National Medical Research CenterRussian Federation202525092025037884Copyright © Амансахатова Е.Н., Ничай Н.Р., Кулябин Ю.Ю., Магбулова С.А., Сойнов И.А., 20252025Амансахатова Е.Н., Ничай Н.Р., Кулябин Ю.Ю., Магбулова С.А., Сойнов И.А.Amansakhatova E.N., Nichay N.R., Kulyabin Y., Magbulova S.A., Soynov I.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.heartj.asia/jour/article/view/6539

Аномалия выводного отдела правого желудочка у детей раннего возраста может встречаться как изолированно, так и охватывать группу врожденных пороков сердца. Такие пациенты с самого раннего возраста нуждаются в проведении радикальной коррекции порока, одним из элементов которого является формирование пути оттока из правого желудочка в легочную артерию. Несмотря на большое разнообразие клапанных протезов и клапансодержащих кондуитов на мировом рынке (легочный аллографт (CryoLife, USA), ксенокондуиты Contegra (Medtronic Inc., Minneapolis, MN), Freestyle (Medtronic Inc., Minneapolis, MN), кондуит из ePTFE (W.L. Gore & Associates Inc, Flagstaff, AZ, USA), DP-BYVC (Yaxin Medical Technology Co., Ltd., Wuhan, China), на сегодняшний день нет идеального графта, который бы имел свободу от репротезирования. Проблема выбора оптимального кондуита для реконструкции выводного отдела правого желудочка остается актуальной, поскольку одной из ряда причин развития дисфункции кондуита ПЖ-ЛА является отсутствие способности роста по мере роста ребенка. Однако развитие тканеинженерных технологий в сердечно-сосудистой хирургии могут привести к разработке новых клапансодержащих кондуитов (Xeltis, Xeltis-XPC), которые могут стать достойной альтернативой существующих кондуитов для реконструкции ВОПЖ-ЛА и снизить количество реопераций в группе пациентов с аномалией выводного отдела ПЖ.

Right ventricular outflow tract anomaly in young children can occur both in isolation and as part of a group of congenital heart defects. Such patients require radical correction of the defect from an early age, one of the elements of which is the formation of an outflow tract from the right ventricle to the pulmonary artery. Despite the wide variety of valve prostheses and valve-containing conduits on the world market (pulmonary allograft (CryoLife, USA), xenoconduits Contegra (Medtronic Inc., Minneapolis, MN), Freestyle (Medtronic Inc., Minneapolis, MN), ePTFE conduit (W.L. Gore & Associates Inc, Flagstaff, AZ, USA), DP-BYVC (Yaxin Medical Technology Co., Ltd., Wuhan, China)), there is currently no ideal graft that would be free from repeated prosthetics. The problem of choosing the optimal conduit for the reconstruction of the right ventricular outflow tract remains relevant, since one of a number of reasons for the development of RVPA conduit dysfunction is the lack of growth ability as the child grows. However, the development of tissue engineering technologies in cardiovascular surgery may lead to the development of new valve-containing conduits (Xeltis, XeltisXPC), which may become a worthy alternative to existing conduits for RVOT-PA reconstruction and reduce the number of reoperations in the group of patients with RV outflow tract anomalies.

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