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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">vestar</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник аритмологии</journal-title><trans-title-group xml:lang="en"><trans-title>Journal of Arrhythmology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1561-8641</issn><issn pub-type="epub">2658-7327</issn><publisher><publisher-name>НАО «Инкарт»</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.35336/VA-2022-4-09</article-id><article-id custom-type="elpub" pub-id-type="custom">vestar-1155</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>КЛИНИЧЕСКИЕ НАБЛЮДЕНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CASE REPORTS</subject></subj-group></article-categories><title-group><article-title>Устранение правостороннего дополнительного предсердно-желудочкового соединения с использованием видеоторакоскопического подхода после неэффективной многократной катетерной аблации: клиническое наблюдение</article-title><trans-title-group xml:lang="en"><trans-title>Elimination of a right-sided accessory pathway using a videothoracoscopic approach after failed recurring catheter ablation: clinical case</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1572-3178</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Малышенко</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Malishenko</surname><given-names>E. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва, Большая Серпуховская ул., д. 27</p></bio><bio xml:lang="en"><p>Moscow, 27 Bolshaya Serpukhovskaya str.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7065-0250</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Артюхина</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Artyukhina</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва, Большая Серпуховская ул., д. 27</p></bio><bio xml:lang="en"><p>Moscow, 27 Bolshaya Serpukhovskaya str.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-5837-7255</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Стребкова</surname><given-names>Е. Д.</given-names></name><name name-style="western" xml:lang="en"><surname>Strebkova</surname><given-names>E. D.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Стребкова Елизавета Дмитриевна</p><p>Москва, Баррикадная ул., д. 2/1, стр. 1</p><p> </p></bio><bio xml:lang="en"><p>Strebkova Elizaveta</p><p>Moscow, 2/1 Barrikadnaya str, building 1</p></bio><email xlink:type="simple">elizabeth.strebkova@yandex.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1791-9163</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ревишвили</surname><given-names>А. Ш.</given-names></name><name name-style="western" xml:lang="en"><surname>Revishvili</surname><given-names>A. Sh.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Москва, Большая Серпуховская ул., д. 27</p></bio><bio xml:lang="en"><p>Moscow, 27 Bolshaya Serpukhovskaya str.</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр хирургии имени А.В.Вишневского» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution «A.V. Vishnevskiy National Medical Research Center of Surgery» of the Ministry of Healthcare of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение дополнительного профессионального образования «Российская медицинская академия непрерывного профессионального образования» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Educational Institution «A.V. Vishnevskiy National Medical Research Center of Surgery» of the Ministry of Healthcare of the Russian Federation</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2022</year></pub-date><pub-date pub-type="epub"><day>08</day><month>12</month><year>2022</year></pub-date><volume>29</volume><issue>4</issue><fpage>61</fpage><lpage>65</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Малышенко Е.С., Артюхина Е.А., Стребкова Е.Д., Ревишвили А.Ш., 2022</copyright-statement><copyright-year>2022</copyright-year><copyright-holder xml:lang="ru">Малышенко Е.С., Артюхина Е.А., Стребкова Е.Д., Ревишвили А.Ш.</copyright-holder><copyright-holder xml:lang="en">Malishenko E.S., Artyukhina E.A., Strebkova E.D., Revishvili A.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://vestar.elpub.ru/jour/article/view/1155">https://vestar.elpub.ru/jour/article/view/1155</self-uri><abstract><p>Описание клинического случая представляет редкое наблюдение многоэтапного подхода к лечению правостороннего дополнительного предсердно-желудочкового соединения. В статье представлены результаты и особенности проведения успешной эпикардиальной аблации с использованием минимально инвазивного торакоскопического доступа, что позволило устранить дополнительный путь проведения эпикардиальной правосторонней локализации после неоднократных неэффективных катерных аблаций.</p></abstract><trans-abstract xml:lang="en"><p>The description of the clinical case presents a rare observation of a multi-stage approach to the treatment of right-sided accessory pathway. There are presented the results and features of successful epicardial ablation using a minimally invasive thoracoscopic approach, which made it possible to eliminate accessory pathways for right-sided epicardial localization after failed recurring cataract ablations.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>синдром предвозбуждения</kwd><kwd>дополнительные пути проведения</kwd><kwd>радиочастотная аблация</kwd><kwd>криоаблация</kwd><kwd>торакоскопическая аблация</kwd></kwd-group><kwd-group xml:lang="en"><kwd>preexcitation syndrome</kwd><kwd>accessory pathways</kwd><kwd>cryoablation</kwd><kwd>radiofrequency ablation</kwd><kwd>thoracoscopic ablation</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Pappone C, Vicedomini G, Manguso F, et al. Wolff-Parkinson-White syndrome in the era of catheter ablation: insights from a registry study of 2169 patients. 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