medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.10.24835/1607-0763-2018-2-25-46medvis-542Research ArticleГРУДНАЯ КЛЕТКАTHORAXЧРЕСПИЩЕВОДНАЯ ЭХОКАРДИОГРАФИЯ: МЕТОДИКА, ПОКАЗАНИЯ, ВОЗМОЖНОСТИTRANSESOPHAGEAL ECHOCARDIOGRAPHY: METHODOLOGY, INDICATIONS, OPPORTUNITIESКадыроваМ. В.KadyrovaM. V.

Кадырова Мадина Валерьевна – канд. мед. наук, старший научный сотрудник отделения ультразвуковых методов диагностики и миниинвазивного лечения.

Москва. 

Madina V. Kadyrova – cand. of med. sci., the senior research.

Moscow.

kadirova@list.ruИльинаМ. В.IlyinaM. V.

Ильина Мария Викторовна – канд. мед. наук, старший научный сотрудник отделения ультразвуковых методов диагностики и миниинвазивного лечения.

Москва. 

Mariya V. Ilyina – cand. of med. sci., the senior research of Ultrasound Department.

Moscow. 

АрбековаП. В.ArbekovaP. V.

Арбекова Полина Владимировна – ординатор отдела лучевой диагностики.

Москва.

СтепановаЮ. А.StepanovaYu. A.

Степанова Юлия Александровна – доктор мед. наук, старший научный сотрудник отдела лучевой диагностики.

Москва. 

Yulia A. Stepanova – doct. of med. sci., the senior research of radiology department.

Moscow.

ФГБУ “Институт хирургии им. А.В. Вишневского” Минздрава России.РоссияA.V. Vishnevsky Institute of Surgery.Russian Federation201828042018022546Copyright © Кадырова М.В., Ильина М.В., Арбекова П.В., Степанова Ю.А., 20182018Кадырова М.В., Ильина М.В., Арбекова П.В., Степанова Ю.А.Kadyrova M.V., Ilyina M.V., Arbekova P.V., Stepanova Y.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.rdsmedia.ru/jour/article/view/542

При трансторакальной эхокардиографии можно, несомненно, увидеть многие патологии, однако в ряде случаев из-за анатомических и физиологических особенностей пациента (толстый слой подкожно-жировой клетчатки, большой размер грудных желез у женщин, заболевания легких, деформация грудной клетки и т.д) все интересующие отделы сердца в полной мере исследовать невозможно. Использование чреспищеводного датчика позволяет преодолеть все эти трудности. В обзоре освещены методика, показания и возможности чреспищеводной эхокардиографии при основных заболеваниях сердца (ишемическая болезнь сердца, врожденные и приобретенные пороки сердца, аритмии) и острых патологических состояниях (острая диссекция аорты, воздушная эмболия).

With transthoracic echocardiography, many pathologies can certainly be seen, but in a number of cases, due to the anatomical and physiological characteristics of the patient (thick layer of subcutaneous fat, large breast size in women, lung disease, chest deformation, etc.) hearts can not be fully explored. The use of a transoesophageal sensor can overcome all these difficulties. The review highlights the methodology, indications, and possibilities of transesophageal echocardiogram in the main heart diseases (coronary heart disease, congenital and acquired heart defects, arrhythmias) and acute pathological conditions (acute dissection of the aorta, air embolism).

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