perinatologyРоссийский вестник перинатологии и педиатрииRossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)1027-40652500-2228Ltd. “The National Academy of Pediatric Science and Innovation”10.21508/1027-4065-2022-67-6-33-39perinatology-1739Research ArticleОБЗОРЫ ЛИТЕРАТУРЫLITERATURE REVIEWSВлияние пренатальной диагностики на результаты хирургического лечения новорожденных с транспозицией магистральных сосудов в сравнении с другими критическими врожденными пороками сердцаImpact of prenatal diagnosis on outcomes of surgical correction in newborns with transposition of the great arteries comparing to other critical congenital heart defectshttps://orcid.org/0000-0002-0980-254XГорбуновД. В.GorbunovD. V.

Горбунов Дмитрий Валерьевич - зав. отделением детской кардиохирургии

010000, Астана, пр. Туран, д. 38

Astana

gibbus@mail.ruhttps://orcid.org/0000-0002-4204-2730АбикееваЛ. С.AbikeyevaL. S.

Абикеева Ляззат Сагадатовна - врач функциональной диагностики

010000, Астана, пр. Туран, д. 38

Astana

https://orcid.org/0000-0002-5631-8646ЖумабаеваМ. М.ZhumabayevaM. M.

Жумабаева Майя Мухтаровна - ст. ординатор отделения детской кардио-хирургии

010000, Астана, пр. Туран, д. 38

Astana

Национальный научный кардиохирургический центрКазахстанNational Research Cardiac Surgery CenterKazakhstan2022070120236763339Copyright © Ltd. “The National Academy of Pediatric Science and Innovation”, 20232023Ltd. “The National Academy of Pediatric Science and Innovation”Ltd. “The National Academy of Pediatric Science and Innovation”https://www.ped-perinatology.ru/jour/about/submissions#copyrightNoticehttps://www.ped-perinatology.ru/jour/article/view/1739

Представлен обзор данных специальной литературы, отражающий влияние пренатальной диагностики критических врожденных пороков сердца на периоперационные и отдаленные результаты. Особое внимание уделено особенностям дородового выявления транспозиции магистральных сосудов. Данный порок сердца является удобным объектом изучения ввиду относительной анатомической однородности этой нозологической формы; рождения пациентов, как правило, в доношенном сроке; редкости сочетания данной патологии с множественными врожденными пороками развития и хромосомными аномалиями, которые  потенциально  могут  ухудшать  результаты  лечения;  сходства  принципов  дооперационного  ведения  пациентов данной категории в разных клиниках; проведения операции артериального переключения в строго очерченных временных рамках (как правило, в течение 1-го месяца жизни); относительной схожести применяемых хирургических техник. Актуальность настоящего исследования заключается в выявлении закономерностей, позволяющих усовершенствовать имеющиеся протоколы лечения новорожденных с транспозицией магистральных сосудов и создать новые алгоритмы взаимодействия между гинекологами, неонатологами, реаниматологами и кардиохирургами.

A review of the literature data describing the influence of prenatal diagnosis of critical congenital heart defects on perioperative and long-term results is presented, with a focus on the features of prenatal detection of transposition of the great arteries. This heart defect is a convenient object of studying due to the relative anatomical homogeneity of the nosological form; the birth of patients, as a rule, at full term; the rarity of the combination of this pathology with multiple congenital malformations and chromosomal abnormalities that can potentially worsen the results of treatment; the similarity of the principles of preoperative management in this category of patients in different clinics; the performing of arterial switch surgery in a strictly defined time frame (usually during the first month of life); the relative similarity of surgical techniques used. The relevance of this study is to identify patterns that make it possible to improve existing protocols for the treatment of newborns with transposition of the great arteries and create new algorithms for interaction between gynecologists, neonatologists, resuscitators, and cardiac surgeons.

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