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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 custom-type="elpub" pub-id-type="custom">vestar-688</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>СЛУЧАЙ ИСПОЛЬЗОВАНИЯ СОЧЕТАННОГО ХИРУРГИЧЕСКОГО ДОСТУПА ПРИ ИМПЛАНТАЦИИ ПОСТОЯННОЙ ЭПИКАРДИАЛЬНОЙ СИСТЕМЫ ЭЛЕКТРОКАРДИОСТИМУЛЯЦИИ У РЕБЕНКА ПОСЛЕ ОПЕРАЦИИ ФОНТЕНА</article-title><trans-title-group xml:lang="en"><trans-title>A CASE OF APPLICATION OF COMBINED SURGICAL ACCESS DURING IMPLANTATION OF PERMANENT EPICARDIAL CARDIAC PACING SYSTEM IN A PEDIATRIC PATIENT AFTER FONTAN SURGERY</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Морозов</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Morozov</surname><given-names>A. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Латыпов</surname><given-names>А. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Latypov</surname><given-names>A. K.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Васичкина</surname><given-names>Е. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Vasichkina</surname><given-names>E. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Грехов</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Grekhov</surname><given-names>E. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Лебедев</surname><given-names>Д. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Lebedev</surname><given-names>D. S.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru">ФГБУ «Федеральный медицинский исследовательский центр им. В.А. Алмазова» МЗ РФ, Санкт-Петербург<country>Россия</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>23</day><month>09</month><year>2020</year></pub-date><volume>0</volume><issue>76</issue><fpage>60</fpage><lpage>62</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Морозов А.А., Латыпов А.К., Васичкина Е.С., Грехов Е.В., Лебедев Д.С., 2020</copyright-statement><copyright-year>2020</copyright-year><copyright-holder xml:lang="ru">Морозов А.А., Латыпов А.К., Васичкина Е.С., Грехов Е.В., Лебедев Д.С.</copyright-holder><copyright-holder xml:lang="en">Morozov A.A., Latypov A.K., Vasichkina E.S., Grekhov E.V., Lebedev D.S.</copyright-holder><license 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/688">https://vestar.elpub.ru/jour/article/view/688</self-uri><abstract><p>Приводится клиническое наблюдение замены постоянной эпикардиальной системы электрокардиостимуляции у ребенка 12 лет перенесшего операцию Фонтена, потребовавшей использования сочетанного хирургического доступа.</p></abstract><kwd-group xml:lang="ru"><kwd>операция Фонтена</kwd><kwd>полная атриовентрикулярная блокада</kwd><kwd>постоянная эпикардиальная электрокардиостимуляция</kwd><kwd>импеданс</kwd><kwd>порог стимуляции</kwd></kwd-group><kwd-group xml:lang="en"><kwd>Fontan surgery</kwd><kwd>complete atrio-ventricular block</kwd><kwd>permanent epicardial cardiac pacing</kwd><kwd>impedance</kwd><kwd>pacing threshold</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">Новик Г.А., Егоров Д.Ф., Васичкина Е.С. и др. 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