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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">transmed</journal-id><journal-title-group><journal-title xml:lang="ru">Трансляционная медицина</journal-title><trans-title-group xml:lang="en"><trans-title>Translational Medicine</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2311-4495</issn><issn pub-type="epub">2410-5155</issn><publisher><publisher-name>Almazov National Medical Research Centre, Saint Petersburg, Russia</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.18705/2311-4495-2016-3-1-6-20</article-id><article-id custom-type="elpub" pub-id-type="custom">transmed-158</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>КАРДИОЛОГИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>CARDIOLOGY</subject></subj-group></article-categories><title-group><article-title>АНЕВРИЗМА ВОСХОДЯЩЕГО ОТДЕЛА АОРТЫ: ОТ МОЛЕКУЛЯРНО-ГЕНЕТИЧЕСКИХ ОСОБЕННОСТЕЙ ПАТОГЕНЕЗА ДО ВЫБОРА МЕТОДА ЛЕЧЕНИЯ</article-title><trans-title-group xml:lang="en"><trans-title>ASCENDING AORTIC ANEURYSM: FROM MOLECULAR AND GENETIC FEATURES OF PATHOGENESIS TO TREATMENT OPTIONS</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>Гаврилюк</surname><given-names>Наталья Дмитриевна</given-names></name><name name-style="western" xml:lang="en"><surname>Gavriliuk</surname><given-names>N. D.</given-names></name></name-alternatives><email xlink:type="simple">Gavrilyuk_ND@almazovcentre.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>Успенский</surname><given-names>Владимир Евгеньевич</given-names></name><name name-style="western" xml:lang="en"><surname>Uspenskiy</surname><given-names>V. E.</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>Малашичева</surname><given-names>Анна Борисовна</given-names></name><name name-style="western" xml:lang="en"><surname>Malashicheva</surname><given-names>A. B.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Иртюга</surname><given-names>Ольга Борисовна</given-names></name><name name-style="western" xml:lang="en"><surname>Irtyuga</surname><given-names>O. B.</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>Дружкова</surname><given-names>Татьяна Александровна</given-names></name><name name-style="western" xml:lang="en"><surname>Druzhkova</surname><given-names>T. 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>Костина</surname><given-names>Дарья Алексеевна</given-names></name><name name-style="western" xml:lang="en"><surname>Kostina</surname><given-names>D. 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>Воронкина</surname><given-names>Ирина Владимировна</given-names></name><name name-style="western" xml:lang="en"><surname>Voronkina</surname><given-names>I. V.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жлоба</surname><given-names>Александр Анатольевич</given-names></name><name name-style="western" xml:lang="en"><surname>Zhloba</surname><given-names>A. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жуков</surname><given-names>Владимир Александрович</given-names></name><name name-style="western" xml:lang="en"><surname>Zhukov</surname><given-names>V. A.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-5"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Жернаков</surname><given-names>Александр Игоревич</given-names></name><name name-style="western" xml:lang="en"><surname>Zhernakov</surname><given-names>A. I.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-6"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ибрагимов</surname><given-names>Амир Насирович</given-names></name><name name-style="western" xml:lang="en"><surname>Ibragimov</surname><given-names>A. N.</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>Моисеева</surname><given-names>Ольга Михайловна</given-names></name><name name-style="western" xml:lang="en"><surname>Moiseeva</surname><given-names>O. M.</given-names></name></name-alternatives><email xlink:type="simple">noemail@neicon.ru</email><xref ref-type="aff" rid="aff-4"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гордеев</surname><given-names>Михаил Леонидович</given-names></name><name name-style="western" xml:lang="en"><surname>Gordeev</surname><given-names>M. L.</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"><institution>Федеральное государственное бюджетное учреждение «Северо-Западный Федеральный медицинский исследовательский центр им. В. А. Алмазова» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Almazov North-West Medical Research Centre</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Северо-Западный Федеральный медицинский исследовательский центр им. В. А. Алмазова» Минздрава России; Санкт-Петербургский Государственный Университет</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Almazov North-West Medical Research Centre; Saint Petersburg University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное научное учреждение «институт цитологии»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Institute of Cytology of the Russian Academy of Science</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Северо-Западный Федеральный медицинский исследовательский центр им. В. А. Алмазова» Минздрава России; Первый Санкт-Петербургский государственный медицинский университет им. акад. и. П. Павлова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Almazov North-West Medical Research Centre; Pavlov First Saint Petersburg State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-5"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Северо-Западный Федеральный медицинский исследовательский центр им. В. А. Алмазова» Минздрава России; Всероссийский научно-исследовательский институт сельскохозяйственной микробиологии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Almazov North-West Medical Research Centre; Pavlov First Saint Petersburg State Medical University; All-Russian Research Institute for Agricultural Microbiology</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-6"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Северо-Западный Федеральный медицинский исследовательский центр им. В. А. Алмазова» Минздрава России; Всероссийский научно-исследовательский институт сельскохозяйственной микробиологии</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal Almazov North-West Medical Research Centre; All-Russian Research Institute for Agricultural Microbiology</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>23</day><month>12</month><year>2016</year></pub-date><volume>3</volume><issue>1</issue><fpage>6</fpage><lpage>20</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Гаврилюк Н.Д., Успенский В.Е., Малашичева А.Б., Иртюга О.Б., Дружкова Т.А., Костина Д.А., Воронкина И.В., Жлоба А.А., Жуков В.А., Жернаков А.И., Ибрагимов А.Н., Моисеева О.М., Гордеев М.Л., 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Гаврилюк Н.Д., Успенский В.Е., Малашичева А.Б., Иртюга О.Б., Дружкова Т.А., Костина Д.А., Воронкина И.В., Жлоба А.А., Жуков В.А., Жернаков А.И., Ибрагимов А.Н., Моисеева О.М., Гордеев М.Л.</copyright-holder><copyright-holder xml:lang="en">Gavriliuk N.D., Uspenskiy V.E., Malashicheva A.B., Irtyuga O.B., Druzhkova T.A., Kostina D.A., Voronkina I.V., Zhloba A.A., Zhukov V.A., Zhernakov A.I., Ibragimov A.N., Moiseeva O.M., Gordeev M.L.</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://transmed.almazovcentre.ru/jour/article/view/158">https://transmed.almazovcentre.ru/jour/article/view/158</self-uri><abstract><p>Аневризма восходящего отдела аорты - грозное заболевание, занимающее 15-е место среди всех причин внезапной смерти. Социальная значимость патологии и ее зачастую полная бессимптомность до развития жизнеугрожающих осложнений диктует необходимость ранней диагностики и своевременного начала лечения. В данном обзоре объединены наиболее активно обсуждаемые в последнее время теории формирования аневризм восходящего отдела аорты. Кроме того, представлены результаты исследований, проводимых на базе СЗФМИЦ имени В. А. Алмазова с 2006 года, которые демонстрируют роль мультидисциплинарного подхода к изучению и лечению аневризм восходящего отдела аорты.</p></abstract><trans-abstract xml:lang="en"><p>Ascending aortic aneurysm is a dangerous disease ranking 15th place among all causes of sudden death. The social significance of this disease and its almost complete asymptomatic character before life-threatening complications occur determine importance of its early detection and timely treatment. This review joins the most discussed recent theories of the formation of an ascending aortic aneurysm. The own data of the Federal Almazov North-West Medical Research Centre are also presented. Multidisciplinary approach of management and research of ascending aortic aneurysms is used in the Almazov Centre since 2006.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>аневризма аорты</kwd><kwd>матриксные металлопротеиназы</kwd><kwd>бикуспидальный аортальный клапан</kwd><kwd>aortic aneurysm</kwd><kwd>matrix metalloproteinase</kwd><kwd>bicuspid aortic valve</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">Hiratzka L, Bakris G, Beckman J, Bersin R, Carr V, Casey D, Eagle K.A. et al. Guidelines for the diagnosis and management of patients with thoracic aortic disease. J Am Coll Cardiol. 2010; 55(4): 127-129.</mixed-citation><mixed-citation xml:lang="en">Hiratzka L, Bakris G, Beckman J, Bersin R, Carr V, Casey D, Eagle K.A. et al. 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