ЕСТЕСТВЕННОЕ ТЕЧЕНИЕ, ПОКАЗАНИЯ И СРОКИ КОРРЕКЦИИ ВТОРИЧНОГО ДЕФЕКТА МЕЖПРЕДСЕРДНОЙ ПЕРЕГОРОДКИ
Аннотация
Проведено немало исследований по изучению естественного течения вторичного дефекта межпредсердной перегородки (ДМПП) после внедрения нехирургической (бесскальпельной) коррекции порока. Отмечено, что порок достаточно долго протекает относительно благоприятно, однако дефекты со временем увеличиваются в размере. Степень шунтирования определяется размером дефекта и податливостью межпредсердной перегородки. При этом происходит истончение краев дефекта, а в ряде случаев и их исчезновение, в результате чего меняется и его морфология. Необходимо иметь в виду, что большие дефекты с недостаточными краями невозможно закрыть бесскальпельным методом. Эти данные свидетельствуют о необходимости мониторинга всех дефектов на контрольной эхокардиографии в течение 18-24 месяцев после постановки диагноза.
Ключевые слова:
дефект межпредсердной перегородки, естественное течение, мониторинг, эхокардиография.Библиографические ссылки
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