grekovВестник хирургии имени И.И. ГрековаGrekov's Bulletin of Surgery0042-46252686-7370Federal State Budgetary Educational Institution of Higher Education «Academician I.P. Pavlov First St. Petersburg State Medical University» of the Ministry of Healthcare of the Russion Federation, FSBEI HE I.P.Pavlov SPbSMU MOH Russia10.24884/0042-4625-2013-172-6-016-020grekov-623Research ArticleВОПРОСЫ ОБЩЕЙ НЕОТЛОЖНОЙ ХИРУРГИИPROBLEMS OF GENERAL AND SPECIAL SURGERYРЕЗУЛЬТАТЫ ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ НА РАБОТАЮЩЕМ СЕРДЦЕ ПОСТИНФАРКТНЫХ АНЕВРИЗМ ЛЕВОГО ЖЕЛУДОЧКАRESULTS OF PLASTY OF POSTINFARCTION LEFT VENTRICULAR ANEURYSM PERFORMED ON THE WORKING HEARTТарасовДмитрий ГеоргиевичTarasovD. G.www.astra-cardio.ruЧерновИгорь ИоновичChernovI. I.cherigor59@mail.ruГордеевМихаил ЛеонидовичGordeevM. L.mlgordeev@mail.ruПавловАлексей ВалерьевичPavlovA. V.noemail@neicon.ruФедеральный центр сердечно-сосудистой хирургииРоссияFederal centre of cardiovascular surgeryRussian FederationФедеральный центр сердца, крови и эндокринологии им. В. А. АлмазоваРоссияFederal Almazov centre of the heart, blood and endocrinologyRussian Federation20131501201817261620Copyright © Тарасов Д.Г., Чернов И.И., Гордеев М.Л., Павлов А.В., 20182018Тарасов Д.Г., Чернов И.И., Гордеев М.Л., Павлов А.В.Tarasov D.G., Chernov I.I., Gordeev M.L., Pavlov A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.vestnik-grekova.ru/jour/article/view/623

The results of plasty (124 patients) of postinfarction left ventricurar aneurysm performed on the working heart are presented in this article. It is shown, that the upgrade of existing surgical techniques, which are directed to the creation of the optimal left ventricle shape, could improve the clinical results after plasty of postinfarction left ventricular aneurysm. It’s important to arrange the conditions, which allow avoiding a negative influence on contractility function of the myocardium. The desired conditions could be obtained, if the plasty is performed on the working or fibrillating heart provided that the patient has a consistent aortic valve.

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