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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">pirogovestnik</journal-id><journal-title-group><journal-title xml:lang="ru">Вестник Национального медико-хирургического центра им. Н.И. Пирогова</journal-title><trans-title-group xml:lang="en"><trans-title>Bulletin of Pirogov National Medical &amp; Surgical Center</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2072-8255</issn><issn pub-type="epub">2782-3628</issn><publisher><publisher-name>Национальный медико-хирургический Центр им. Н.И. Пирогова</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25881/20728255_2026_21_3_158</article-id><article-id custom-type="elpub" pub-id-type="custom">pirogovestnik-670</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>КАЛЬЦИНОЗ ПЕРИКАРДА ПРИ КОРОНАРНОМ ШУНТИРОВАНИИ</article-title><trans-title-group xml:lang="en"><trans-title>PERICARDIAL CALCIFICATION AFTER CORONARY ARTERY BYPASS GRAFTING</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>Шляховой</surname><given-names>А. Б.</given-names></name><name name-style="western" xml:lang="en"><surname>Shlyakhovoy</surname><given-names>A. B.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Поляков</surname><given-names>Л. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Polyakov</surname><given-names>L. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><email xlink:type="simple">lgpolyakov@mail.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>Лесковский</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Leskovsky</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Борисов</surname><given-names>А. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Borisov</surname><given-names>A. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Григорян</surname><given-names>В. К.</given-names></name><name name-style="western" xml:lang="en"><surname>Grigoryan</surname><given-names>V. K.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Баталова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Batalova</surname><given-names>E. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>St. Petersburg</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>СПб ГБУЗ «Городская многопрофильная больница № 2»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>City Multidisciplinary Hospital №2</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>03</day><month>09</month><year>2026</year></pub-date><volume>21</volume><issue>3</issue><fpage>158</fpage><lpage>161</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Шляховой А.Б., Поляков Л.Г., Лесковский Е.А., Борисов А.И., Григорян В.К., Баталова Е.А., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Шляховой А.Б., Поляков Л.Г., Лесковский Е.А., Борисов А.И., Григорян В.К., Баталова Е.А.</copyright-holder><copyright-holder xml:lang="en">Shlyakhovoy A.B., Polyakov L.G., Leskovsky E.A., Borisov A.I., Grigoryan V.K., Batalova E.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://submit.pirogov-vestnik.ru/jour/article/view/670">https://submit.pirogov-vestnik.ru/jour/article/view/670</self-uri><abstract><p>Кальциноз перикарда («панцирное сердце») представляет собой вариант хронического фиброзного перикардита с обызвествлением листков перикарда. Истинная распространенность хронического фиброзного перикардита в популяции неясна вследствие отсутствия специфической клинической картины, а также, как правило, сочетания кальциноза перикарда с другими кардиальными патологиями, которые и являются причиной обращения за медицинской помощью. В литературе описаны основные факторы, которые приводят с кальцификации листков перикарда (опухоли, туберкулез, аутоиммунные заболевания, лучевая терапия, перенесенный инфаркт миокарда и др.). При активном воспалительном процессе в перикарде грамотный сбор жалоб и анамнеза, а также данные физикального осмотра заставляют заподозрить данную патологию уже при первичном осмотре. Но при хронизации процесса, когда отсутствует специфическая клиническая картина, вследствие чего могут быть не назначены определенные инструментальные методы диагностики, сформировавшийся кальциноз перикарда может оказаться неожиданностью для хирурга на операционном столе. Представлен клинический случай выраженного кальциноза перикарда у пациента с ишемической болезнью сердца, которому выполнялось коронарное шунтирование.</p></abstract><trans-abstract xml:lang="en"><p>Pericardial calcification (“armored heart”) is a variant of chronic fibrous pericarditis with calcification of the pericardial layers. The true prevalence of chronic fibrous pericarditis in the population is unclear due to the lack of a specific clinical picture, as well as, as a rule, a combination of pericardial calcification with other cardiac pathologies, which are the reason for seeking medical help. The literature describes the main factors that lead to calcification of the pericardial layers (tumors, tuberculosis, autoimmune diseases, radiation therapy, myocardial infarction, etc.). In case of an active inflammatory process in the pericardium, a competent collection of complaints and anamnesis, as well as physical examination data, lead to a suspicion of this pathology already during the initial examination. However, when the process becomes chronic and a specific clinical picture is absent, and therefore certain instrumental diagnostic methods may not be prescribed, the resulting pericardial calcification may come as a surprise to the surgeon on the operating table. A case report of severe pericardial calcification in a patient with coronary artery disease undergoing coronary artery bypass grafting is presented.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>кальциноз перикарда</kwd><kwd>констриктивный перикардит</kwd><kwd>«панцирное сердце»</kwd><kwd>коронарное шунтирование</kwd></kwd-group><kwd-group xml:lang="en"><kwd>рericardial calcification</kwd><kwd>constrictive pericarditis</kwd><kwd>«armored heart»</kwd><kwd>coronary artery bypass grafting</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">Арутюнов Ф.Н., Палеев Е.И., Тарловская Е.И. и др. Перикардиты. Клинические рекомендации 2022 // Российский кардиологический журнал. – 2023. – Т.28. – №3. – С.107-167. doi: 10.15829/1560-4071-2023-5398.</mixed-citation><mixed-citation xml:lang="en">Arutyunov FN, Paleev EI, Tarlovskaya EI, et al. Pericarditis. Clinical guidelines 2022. 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