МЕХАНИЗМЫ ПРАВОЖЕЛУДОЧКОВОЙ НЕДОСТАТОЧНОСТИ В УСЛОВИЯХ ЛЕВОЖЕЛУДОЧКОВОГО ВСПОМОГАТЕЛЬНОГО КРОВООБРАЩЕНИЯ И МЕТОДЫ БИВЕНТРИКУЛЯРНОГО ОБХОДА СЕРДЦА

The paper presents a review of the problems of mechanical circulatory support with left ventricular bypass in total cardiac failure. Dysfunction of right ventricular de fi nes the high mortality on left ventricular device. One of the effective methods for solving this problem is the use of right ventricular assisted devices. There are considered of the basic physiological mechanisms of interaction between the right and left ventricles of the heart, affecting on the function of the right heart. Shows the need to assess right ventricular function before deciding on mechanical circulatory support. Provides examples of the estimation the predictors of the right ventricular failure. The basic methods and devices of biventricular circulatory support were con- sidered.