ПЕРЕДОВАЯ СТАТЬЯ КАРДИОХИРУРГИЯ ПРЕИМУЩЕСТВА КОМПЬЮТЕРНОЙ ТОМОГРАФИИ СЕРДЦА ПРИ ТРАНСКАТЕТЕРНОМ ЗАКРЫТИИ ДЕФЕКТА МЕЖПРЕДСЕРДНОЙ ПЕРЕГОРОДКИ С ПОМОЩЬЮ СЕПТАЛЬНОГО ОККЛЮДЕРА АМПЛАТЦЕРА Jinyoung Song 1 , Yang Min Kim 2 , Toibayeva Aigerim 3 Цель. <...> Безопасная коррекция дефекта межпредсердной перегородки (ДМПП) может быть осуществлена путем транскатетерного закрытия, с использованием септального окклюдера Амплатцера (СОА). <...> По сравнению с оценкой выраженности ДМПП баллонным катетером, КТ сердца позволяет использовать окклюдер меньшего диаметра. <...> Nowadays, transcatheter closure of an atrial septal defect (ASD) with an Amplatzer septal occluder (ASO) (AGA medical, Golden Valley, MN) is a safe and effective method and a good alternative to an operation. <...> An accurate evaluation of the ASD is crucial for successful transcatheter closure. <...> Transesophageal echocardiography (TEE) has been accepted as an excellent method for the complete evaluation of an ASD in transcatheter closure [1], and balloon sizing to decide the appropriate size of the device during the procedure has been generally accepted [2, 3]. <...> But these are tricky procedures because the balloon sizing technique can be inaccurate and troublesome in some circumstance [4] and the TEE, which should be performed under general anesthesia with intubation, is associated with various potential risks [5, 6]. <...> In particular, balloon oversizing has been reported as a high risk for fatal erosion after ASO implantation [7]. <...> Meanwhile, cardiac computed tomography (CT), which that shows superb spatial and temporal resolution with a short scanning time, is regarded as a good tool for the morphologic evaluation of congenital heart diseases [8, 9]. <...> In this report, we describe our experience using cardiac CT not only for the evaluation of ASD size but also for the selection of the appropriate size of device. <...> Material and Methods Between November 2009 and February 2011, a total of 44 patients with secundum ASD confirmed at transthoracic echocardiogram (TTE) who were considered as successful candidates for transcatheter closure with ASO were 35 Российский кардиологический журнал 2013; 3 (101): 35-39 Ключевые слова: дефект межпредсердной перегородки, компьютерная томография сердца, септальный окклюдер Амплатцера. 1 Department of Cardiac <...>