nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-90222022-11-4-683-690nmp-1525Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCLINICAL OBSERVATIONSКлиническое наблюдение коррекции приобретенного дефекта Гербоде после протезирования митрального клапана у пациента с новой коронавирусной инфекциейClinical Case of Correction of an Acquired Gerbode Defect After Mitral Valve Replacement in a Patient With New Coronavirus Infectionhttps://orcid.org/0000-0003-1992-1515ИсрапиевМ. В.IsrapiyevM. V.

Исрапиев Магомед Вахарсолтович, специалист организационно-методического отдела по стационарной помощи

115088, Москва, Шарикоподшипниковская ул., д. 9

Magomed V. Israpiyev, Specialist of the Organizational and Methodological Department for Inpatient Care 

9, Sharikopodshipnikovskaya Str., Moscow, 115088

IsrapievMV@mos.ruhttps://orcid.org/0000-0002-4966-7418НиязовС. С.NiyazovS. S.

Ниязов Саидислом Сайдулаевич, врач-сердечно-сосудистый хирург кардиохирургического отделения № 2

129090, Москва, Большая Сухаревская площадь, д. 3

Saidislom S. Niyazov, Cardiovascular Surgeon, Cardiac Surgery Department No. 2

3, B. Sukharevskaya Sq., Moscow 129090

niyazovss@sklif.mos.ruhttps://orcid.org/0000-0002-3037-3292БикбоваН. М.BikbovaN. M.

Бикбова Наталья Марсовна, научный сотрудник отделения неотложной коронарной хирургии

129090, Москва, Большая Сухаревская площадь, д. 3

Natalya M. Bikbova, Researcher of the Department of Emergency Coronary Surgery

3, B. Sukharevskaya Sq., Moscow 129090

nat_2007@mail.ruhttps://orcid.org/0000-0002-6534-3595РедкобородыйА. В.RedkoborodyA. V.

Редкобородый Андрей Вадимович, кандидат медицинских наук, ведущий научный сотрудник отделения неотложной кардиохирургии, вспомогательного кровообращения и трансплантации сердца ГБУЗ «НИИ СП им. Н.В. Склифосовского ДЗМ»

129090, Москва, Большая Сухаревская площадь, д. 3,

127473, Москва, ул. Делегатская, д. 20, стр. 1

Andrey V. Redkoborody, Candidate of Medical Sciences, Leading Researcher at the Department of Emergency Cardiac Surgery, Assisted Circulation and Heart Transplantation, N.V. Sklifosovsky Research Institute for Emergency Medicine

3, B. Sukharevskaya Sq., Moscow 129090,

20-1, Delegatskaya street, Moscow, 127473

av_red@mail.ruhttps://orcid.org/0000-0002-8786-9491РубцовН. В.RubtsovN. V.

Рубцов Николай Владимирович, кандидат медицинских наук, научный сотрудник отделения неотложной кардиохирургии, вспомогательного кровообращения и трансплантации сердца ГБУЗ «НИИ СП им. Н.В. Склифосовского ДЗМ»

115088, Москва, Шарикоподшипниковская ул., д. 9,

129090, Москва, Большая Сухаревская площадь, д. 3

Nikolay V. Rubtsov, Candidate of Medical Sciences, Researcher at the Department of Emergency Cardiac Surgery, Assisted Circulation and Heart Transplantation, N.V. Sklifosovsky Research Institute for Emergency Medicine

9, Sharikopodshipnikovskaya Str., Moscow, 115088,

3, B. Sukharevskaya Sq., Moscow 129090,

nvrubtsov@gmail.comhttps://orcid.org/0000-0003-3283-0562КамбаровС. Ю.KambarovS. Yu.

Камбаров Сергей Юрьевич, доктор медицинских наук, заведующий отделением неотложной коронарной хирургии

129090, Москва, Большая Сухаревская площадь, д. 3

Sergey Yu. Kambarov, Doctor of Medical Sciences, Head of the Department of Emergency Coronary Surgery

3, B. Sukharevskaya Sq., Moscow 129090

sergkamb@mail.ruhttps://orcid.org/0000-0001-9366-3927КовалевА. В.KovalyovA. V.

Ковалёв Алексей Иванович, кандидат медицинских наук, врач сердечно-сосудистый хирург, заведующий кардиохирургическим отделением № 2 ГБУЗ «НИИ СП им. Н.В. Склифосовского ДЗМ»

129090, Москва, Большая Сухаревская площадь, д. 3,

127473, Москва, ул. Делегатская, д. 20, стр. 1

Aleksey I. Kovalyov, Candidate of Medical Sciences, Cardiovascular Surgeon, Head of the Cardiac Surgery Department No. 2, N.V. Sklifosovsky Research Institute for Emergency Medicine

3, B. Sukharevskaya Sq., Moscow 129090,

20-1, Delegatskaya street, Moscow, 127473

aleksey.kovaliov@gmail.comhttps://orcid.org/0000-0002-3167-3692КоковЛ. С.KokovL. S.

Коков Леонид Сергеевич, доктор медицинских наук, профессор, академик РАН, заведующий отделом лучевой диагностики ГБУЗ «НИИ СП им. Н.В. Склифосовского ДЗМ»

129090, Москва, Большая Сухаревская площадь, д. 3,

127473, Москва, ул. Делегатская, д. 20, стр. 1,

119991, Москва, ул. Трубецкая, д. 8, стр. 2

Leonid S. Kokov, Doctor of Medical Sciences, Professor, Academician of the Russian Academy of Sciences, Head of the Department of Radiation Diagnostics, N.V. Sklifosovsky Research Institute for Emergency Medicine

3, B. Sukharevskaya Sq., Moscow 129090,

20-1, Delegatskaya street, Moscow, 127473,

8-2, Trubetskaya Str., Moscow, 119992

kokovls@sklif.mos.ruhttps://orcid.org/0000-0002-4026-8082ВладимировВ. В.VladimirovV. V.

Владимиров Виталий Васильевич, кандидат медицинских наук, врач сердечно-сосудистый хирург кардиохирургического отделения № 2 ГБУЗ «НИИ СП им. Н.В. Склифосовского ДЗМ»

129090, Москва, Большая Сухаревская площадь, д. 3,

127473, Москва, ул. Делегатская, д. 20, стр. 1

Vitaly V. Vladimirov, Candidate of Medical Sciences, Cardiovascular Surgeon, Cardiac Surgery Department No. 2, N.V. Sklifosovsky Research Institute for Emergency Medicine

3, B. Sukharevskaya Sq., Moscow 129090,

20-1, Delegatskaya street, Moscow, 127473

vlavitvas@mail.ruГБУЗ «Научно-исследовательский институт организации здравоохранения и медицинского менеджмента ДЗМ»РоссияResearch Institute for Healthcare Organization and Medical ManagementRussian FederationГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияN.V. Sklifosovsky Research Institute for Emergency MedicineRussian FederationГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»; ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава РоссииРоссияN.V. Sklifosovsky Research Institute for Emergency Medicine; A.I. Yevdokimov Moscow State University of Medicine and DentistryRussian FederationГБУЗ «Научно-исследовательский институт организации здравоохранения и медицинского менеджмента ДЗМ»; ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»РоссияResearch Institute for Healthcare Organization and Medical Management; N.V. Sklifosovsky Research Institute for Emergency MedicineRussian FederationГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»; ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России; ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» МЗ РФРоссияN.V. Sklifosovsky Research Institute for Emergency Medicine; A.I. Yevdokimov Moscow State University of Medicine and Dentistry; I.M. Sechenov First Moscow State Medical UniversityRussian Federation202204022023114683690Copyright © Исрапиев М.В., Ниязов С.С., Бикбова Н.М., Редкобородый А.В., Рубцов Н.В., Камбаров С.Ю., Ковалев А.В., Коков Л.С., Владимиров В.В., 20232023Исрапиев М.В., Ниязов С.С., Бикбова Н.М., Редкобородый А.В., Рубцов Н.В., Камбаров С.Ю., Ковалев А.В., Коков Л.С., Владимиров В.В.Israpiyev M.V., Niyazov S.S., Bikbova N.M., Redkoborody A.V., Rubtsov N.V., Kambarov S.Y., Kovalyov A.V., Kokov L.S., Vladimirov V.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1525

Клиническое наблюдение. Пациент после операции протезирования митрального клапана по поводу инфекционного эндокардита госпитализирован с новой коронавирусной инфекцией. При обследовании диагностировано левожелудочково-правопредсердное сообщение. В НИИ скорой помощи им. Н.В. Склифосовского выполнено комплексное, в том числе хирургическое, лечение с хорошим клиническим эффектом.

ЗАКЛЮЧЕНИЕ В условиях пандемии новой коронавирусной инфекции пациенты с новой коронавирусной инфекцией, перенесшие в анамнезе операцию на сердце, подлежат большей клинической настороженности в отношении развития послеоперационных осложнений, в том числе редких.

Clinical case. A patient after mitral valve replacement surgery for infective endocarditis was hospitalized with a new coronavirus infection. The examination revealed a left ventricular-right atrial communication. The complex treatment with a good clinical effect was performed at the N.V. Sklifosovsky Research Institute for Emergency Medicine. Conclusions In the context of a pandemic of a new coronavirus infection, patients with a new coronavirus infection who have undergone a history of heart surgery are subject to greater clinical vigilance regarding the development of postoperative complications, including rare ones.

дефект Гербоделевожелудочково-правопредсердное сообщениелевожелудочково-правопредсердный шунтдефект межжелудочковой перегородкиинфекционный эндокардитновая коронавирусная инфекцияпротезирование клапанов сердцаклиническая настороженностьGerbode Defectleft ventricular-right atrial communicationleft ventricular-right atrial shuntventricular septal defectinfective endocarditisnew coronavirus infectionprosthetic heart valvesclinical alertnessReferencesGerbode F, Hultgren H, Melrose D, Osborn J. Syndrome of left ventricularright atrial shunt; successful surgical repair of defect in five cases, with observation of bradycardia on closure. Ann Surg. 1958;148(3):433–46. PMID: 13571920 https://doi.org/10.1097/00000658-195809000-00012Gerbode F, Hultgren H, Melrose D, Osborn J. Syndrome of left ventricular-right atrial shunt; successful surgical repair of defect in five cases, with observation of bradycardia on closure. Ann Surg. 1958;148(3):433–46. 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The authors declare that there are no conflicts of interest present.