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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">cardiovascular</journal-id><journal-title-group><journal-title xml:lang="ru">Кардиоваскулярная терапия и профилактика</journal-title><trans-title-group xml:lang="en"><trans-title>Cardiovascular Therapy and Prevention</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1728-8800</issn><issn pub-type="epub">2619-0125</issn><publisher><publisher-name>«SILICEA-POLIGRAF» LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.15829/1728-8800-2023-3377</article-id><article-id custom-type="elpub" pub-id-type="custom">cardiovascular-3377</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОР ЛИТЕРАТУРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>LITERATURE REVIEW</subject></subj-group></article-categories><title-group><article-title>Повторное протезирование клапанов сердца: подходы и устройства (обзор литературы)</article-title><trans-title-group xml:lang="en"><trans-title>Repeated valve replacement: approaches and devices (literature review)</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-3211-1250</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Клышников</surname><given-names>К. Ю.</given-names></name><name name-style="western" xml:lang="en"><surname>Klyshnikov</surname><given-names>K. Yu.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Клышников Кирилл Юрьевич — кандидат медицинских наук, научный сотрудник лаборатории новых биоматериалов</p><p>Кемерово</p></bio><bio xml:lang="en"><p>Kemerovo</p></bio><email xlink:type="simple">Klyshku@kemcardio.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7477-3979</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Овчаренко</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ovcharenko</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Овчаренко Евгений Андреевич — кандидат технических наук, зав. лабораторией новых биоматериалов</p><p>Кемерово</p></bio><bio xml:lang="en"><p>Kemerovo</p></bio><email xlink:type="simple">ovchea@kemcardio.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1341-204X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стасев</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Stasev</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Стасев Александр Николаевич — кандидат медицинских наук, старший научный сотрудник лаборатории порок сердца</p><p>Кемерово</p></bio><bio xml:lang="en"><p>Kemerovo</p></bio><email xlink:type="simple">astasev@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-6981-9661</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Барбараш</surname><given-names>Л. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Barbarash</surname><given-names>L. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Барбараш Леонид Семенович — доктор медицинских наук, главный научный сотрудник, профессор, академик РАН</p><p>Кемерово</p></bio><bio xml:lang="en"><p>Kemerovo</p></bio><email xlink:type="simple">director@kemcardio.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФГБНУ "Научно-исследовательский институт комплексных проблем сердечно-сосудистых заболеваний"</institution></aff><aff xml:lang="en"><institution>Research Institute for Complex Issues of Cardiovascular Diseases</institution></aff></aff-alternatives><pub-date pub-type="collection"><year>2023</year></pub-date><pub-date pub-type="epub"><day>06</day><month>01</month><year>2023</year></pub-date><volume>22</volume><issue>2</issue><fpage>3377</fpage><lpage>3377</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Клышников К.Ю., Овчаренко Е.А., Стасев А.Н., Барбараш Л.С., 2023</copyright-statement><copyright-year>2023</copyright-year><copyright-holder xml:lang="ru">Клышников К.Ю., Овчаренко Е.А., Стасев А.Н., Барбараш Л.С.</copyright-holder><copyright-holder xml:lang="en">Klyshnikov K.Y., Ovcharenko E.A., Stasev A.N., Barbarash L.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://cardiovascular.elpub.ru/jour/article/view/3377">https://cardiovascular.elpub.ru/jour/article/view/3377</self-uri><abstract><p>Дисфункции биопротезов клапанов сердца представляют собой серьезный недостаток, который ограничивает более широкое клиническое использование данных медицинских изделий в случае хирургической коррекции приобретенных клапанных пороков. Современные исследования описывают взгляд патофизиологов на данную проблему как на многофакторный многостадийный процесс, вызывающий необратимые изменения в компонентах биопротезов, в конечном итоге, приводящий к значимому нарушению их функции. Однако помимо понимания причин и проявлений развития дисфункции протезов возникает прикладной вопрос о стратегиях лечения данного состояния — определения наиболее щадящего, доступного и малорискового метода/устройства. Цель настоящего обзора — анализ и систематизация актуальных литературных данных о методах и конструкциях, применяемых при повторном хирургическом и транскатетерном вмешательствах на клапанах сердца.</p></abstract><trans-abstract xml:lang="en"><p>Bioprosthetic valve dysfunction represent a serious drawback that limits the wider clinical use of these medical devices for valvular heart disease surgery. Modern studies describe the view of pathophysiologists on this problem as a multifactorial multi-stage process that causes irreversible changes in bioprosthesis components, ultimately leading to its dysfunction. However, in addition to under- standing the causes and manifestations of prosthetic valve dys- function, an applied question arises about the treatment strategies — determining the most attenuated and accessible low-risk method/ device. The aim of this review was to analyze and systematize current literature data on methods and designs used in repeated surgical and transcatheter interventions on heart valves.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дисфункция биопротеза</kwd><kwd>клапан сердца</kwd><kwd>протез-в-протез</kwd><kwd>репротезирование клапана сердца</kwd><kwd>повторное вмешательство на клапане сердца</kwd></kwd-group><kwd-group xml:lang="en"><kwd>bioprosthetic valve dysfunction</kwd><kwd>heart valve</kwd><kwd>valve-in- valve</kwd><kwd>repeated valve replacement</kwd><kwd>repeated heart valve intervention</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Исследование выполнено в  рамках Комплексной научно-технической программы полного инновационного цикла "Разработка и внедрение комплекса технологий в  области разведки и  добычи твердых полезных ископаемых, обеспечения промышленной безопасности, биоремедиации, создания новых продуктов глубокой переработки из угольного сырья при последовательном снижении экологической нагрузки на окружающую среду и  рисков для жизни населения" (утв. 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