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RU2019110471A - METHOD FOR PROSTHETICS OF ALL STRUCTURES OF THE OUTPUT OF THE RIGHT VENTRICLE, PULMONAL VALVE, PULMONARY TRUNK - Google Patents

METHOD FOR PROSTHETICS OF ALL STRUCTURES OF THE OUTPUT OF THE RIGHT VENTRICLE, PULMONAL VALVE, PULMONARY TRUNK Download PDF

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Publication number
RU2019110471A
RU2019110471A RU2019110471A RU2019110471A RU2019110471A RU 2019110471 A RU2019110471 A RU 2019110471A RU 2019110471 A RU2019110471 A RU 2019110471A RU 2019110471 A RU2019110471 A RU 2019110471A RU 2019110471 A RU2019110471 A RU 2019110471A
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RU
Russia
Prior art keywords
conduit
valve
right ventricle
tubular part
prosthetics
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Application number
RU2019110471A
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Russian (ru)
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RU2747362C2 (en
RU2019110471A3 (en
Inventor
Роман Николаевич Комаров
Станислав Вячеславович Чернявский
Андрей Ильич Катков
Дмитрий Владимирович Пузенко
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Роман Николаевич Комаров
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Priority to RU2019110471A priority Critical patent/RU2747362C2/en
Publication of RU2019110471A publication Critical patent/RU2019110471A/en
Publication of RU2019110471A3 publication Critical patent/RU2019110471A3/ru
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Publication of RU2747362C2 publication Critical patent/RU2747362C2/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Prostheses (AREA)

Claims (5)

Способ полного протезирования всех структур выходного отдела правого желудочка, включающий в себя иссечение измененных тканей пульмонального клапана, легочного ствола и имплантацию клапаносодержащей конструкции, отличающийся тем, что перед подключением аппарата искусственного кровообращения с помощью чрезпищеводной эхокрдиографии измеряют диаметр выходного отдела правого желудочка, выкраивают ксеноперикардиальный лоскут для формирования тубулярной части кондуита, а также обработанный глутаровым альдегидом аутоперикардиальный лоскут для формирования запирательных элементов кондуит, размеры створок и трубчатой части кондуита рассчитывают по формулам:A method of complete prosthetics of all structures of the outlet section of the right ventricle, including excision of altered tissues of the pulmonary valve, pulmonary trunk and implantation of a valve-containing structure, characterized in that before connecting the heart-lung machine, the diameter of the outlet section of the right ventricle is measured using transesophageal echocardiography, the xenoscopericardial lumbar is cut out for the formation of the tubular part of the conduit, as well as the autopericardial flap treated with glutaraldehyde to form the obturator elements of the conduit, the dimensions of the valves and the tubular part of the conduit are calculated by the formulas: L - длина окружности тубулярной части, D - диаметр тубулярной части, h - высота створки АК, ƒ - отступ для формирования шва равный 2-3 ммL is the circumference of the tubular part, D is the diameter of the tubular part, h is the height of the valve of the AK, ƒ is the indent for the formation of the suture equal to 2-3 mm L=πD+(ƒ×2) (мм).L = πD + (ƒ × 2) (mm).
Figure 00000001
Figure 00000001
 в позицию иссеченного участка ВОПЖ имплантируют сформированный ксено-аутоперикардиальный кондуит.the formed xeno-autopericardial conduit is implanted into the position of the excised area of the VVF.
RU2019110471A 2019-08-29 2019-08-29 Method of prosthetic repair of all structures of right ventricular outlet, pulmonary valve, pulmonary trunk RU2747362C2 (en)

Priority Applications (1)

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RU2019110471A RU2747362C2 (en) 2019-08-29 2019-08-29 Method of prosthetic repair of all structures of right ventricular outlet, pulmonary valve, pulmonary trunk

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RU2019110471A RU2747362C2 (en) 2019-08-29 2019-08-29 Method of prosthetic repair of all structures of right ventricular outlet, pulmonary valve, pulmonary trunk

Publications (3)

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RU2019110471A true RU2019110471A (en) 2021-03-01
RU2019110471A3 RU2019110471A3 (en) 2021-03-01
RU2747362C2 RU2747362C2 (en) 2021-05-04

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Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
RU2392872C1 (en) * 2009-04-29 2010-06-27 Государственное учреждение здравоохранения "Свердловская областная клиническая больница № 1" (СОКБ № 1) Method of atrioventricular valve replacement by pulmonary autograft
RU2664189C1 (en) * 2017-06-19 2018-08-15 Роман Николаевич Комаров Method of prosthetic repair of all structures of the root of aorta

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RU2747362C2 (en) 2021-05-04
RU2019110471A3 (en) 2021-03-01

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