To analyze results of surgical correction of spinal deformity using transpedicular instrumentation in children with idiopathic scoliosis. Material and Methods. A total of 106 patients aged 13 to 18 years with Cobb angle of 40º to 136º were operated on. Out of them 56 (52.8%) patients had Lenke I deformity, 23 (21.7%)-Lenke III, 15 (14.2%)-Lenke V, and 12 (11.3%)-Lenke VI scoliosis. Results. The deformity correction achieved after surgery was 48 % to 100 % in patients with Lenke I, 72 % to 100 %-with Lenke III, 81 % to 100 %-with Lenke V, and 75 % to 100 %-in patients with Lenke VI scoliosis. Derotation of the apical vertebra varied between 0 % and 77 % in Lenke I scoliosis, between 10 % and 79 % in Lenke III, between 9 % and 57 % in Lenke V scoliosis. In patients with Lenke VI idiopathic scoliosis the apical vertebra derotation was 10 % to 58 % in the thoracic spine and 7 % to 50 % in the lumbar spine. Extension of the fixation region ranged from 10 to 14 vertebrae in Lenke I idiopathic scoliosis, from 7 to 12-in Lenke III, from 5 to 9-in Lenke V, and from 11 to 14 vertebrae-in Lenke VI idiopathic scoliosis. Conclusion. The total transpedicular fixation along the curvature length allows performing effective correction, true derotation of apical vertebral bodies, and stable preservation of the achieved results postoperatively.

The article presents the historical and contemporary aspects of the state of the question correct scoliosis spine with dorsal and ventral spinal systems. The variants of spinal deformity correction method from Harrington to modern surgical techniques using both hook and metal screw. Detailed technological aspects of surgical interventions for the correction of spinal deformity using a variety of spinal structures. A comparative estimate of the correction of spinal deformity, the impact on the result of the initial mobility of the spine, level metallofiksatsii vertebral-motor segment, as well as the degree of true derotation vertebrae at the top of the curvature in a variety of surgical procedures. Describes the advantages and disadvantages of options for surgery.

This report describes a rare case of anomalous origin of the right coronary artery from the pulmonary artery associated with a large aortopulmonary window in a 2-month-old boy. The right coronary artery was exposed to systemic pressure and carried fairly well-oxygenated blood to the myocardium. Closure of the aortopulmonary window alone could have caused acute myocardial ischemia. The purpose of this case report is to describe successful diagnosis and management of anomalous origin of the right coronary artery associated with an aortopulmonary window. The pathological findings and the physiological effects, clinical importance, and method of correction used are discussed.

We describe a rare case of anomalous origin of the left pulmonary artery from the ascending aorta with concomitant double-outlet right ventricle in a 2-year-old boy. He underwent successful 2-stage surgical treatment with transluminal balloon pulmonary valvuloplasty, followed by complete repair. A follow-up examination at 4 years after the operation showed good results.

Г.В. Рябыкина, Д.В. алесенко, а.В. соболеВ G.V. Ryabykina, D.V. alesenko, a.V. soboleV Federal state budget organization «national medical research center of cardiology» of the Ministry of healthcare of the Russian Federation, Moscow, Russia Summary The objective of this work was to reveal eCG interpretation limitations and errors when diagnosing inferior myocardial infarction in comparison with the echoCG possibilities. 12-leadeCG and transthoracic echoCG results were studied in 245 patients (187 males and 58 females) at the age of 49 to 90 years clinically diagnosed with inferior myocardial infarction who were followed up at the Federal state budget institution national Medical Research Cardiology Center of the Ministry of Health of the Russian Federation during the period from 2016 to 2017. The localization diagnosis results of focal and cicatricial changes according to the data of both examinations coincided in 34,7% of cases. in 46,9% of cases, echoCG data indicated left ventricular wall motion abnormalities, while eCG did not reveal any signs of focal and cicatricial myocardial lesions. 12-lead eCG revealed focal and cicatricial lesions without wall motion abnormalities of the corresponding regions according to the echoCG results (18,4%). Thew orkthoroughly studies the reasons for low sensitivity of eCG when diagnosing inferior posterior and posterior lateral infarction. ФГбУ «национальный медицинский исследовательский центр кардиологии» Минздрава России, Москва, Россия Резюме Целью данной работы являлось выявление ограничений и ошибок интерпретации ЭкГ при постановке диагноза «инфаркт миокарда нижней локализации» в сравнении с возможностями ЭхокГ. были изучены ЭкГ в 12 отведениях и результаты трансторакальной ЭхокГ 245 пациентов (187 мужчин и 58 женщин) в возрасте 49-90 лет с клиническим диагнозом «инфаркт миокарда нижней локализации», наблюдаемых в ФГбУ нМиЦ кардиологии Минздрава России в период с 2016 по 2017 год. В 34,7% случаев результаты топической диагностики очагово-рубцовых изменений, по данным обоих исследований, совпадали. В 46,9% данные ЭхокГ указывали на наличие нарушений локальной сократимости лЖ, по данным же ЭкГ, признаки очагово-рубцового поражения миокарда отсутствовали. Выявлялись случаи очагово-рубцовых поражений по результатам ЭкГ в 12 отведениях без нарушений локальной сократимости, соответствующих сегментов по результатам ЭхокГ (18,4%).