Modeling Tool for Rapid Virtual Planning of the Intracardiac Baffle in Double-Outlet Right Ventricle.
Journal
The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
received:
19
01
2021
accepted:
13
02
2021
pubmed:
11
3
2021
medline:
3
7
2021
entrez:
10
3
2021
Statut:
ppublish
Résumé
Biventricular repair of double-outlet right ventricle (DORV) necessitates the creation of a complex intracardiac baffle. Creation of the optimal baffle design and placement thereof can be challenging to conceptualize, even with 2-dimensional and 3-dimensional images. This report describes a recently developed methodology for creating virtual baffles to inform intraoperative repair. A total of 3 heart models of DORV were created from cardiac magnetic resonance images. Baffles were created and visualized using custom software. This report demonstrates application of the tool to virtual planning of the baffle for repair of DORV in 3 cases. Models were examined by a multidisciplinary team, on screen and in virtual reality. Baffles could be rapidly created and revised to facilitate planning of the surgical procedure. Virtual modeling of the baffle pathway by using cardiac magnetic resonance, creation of physical templates for the baffle, and visualization in virtual reality are feasible and may be beneficial for preoperative planning of complex biventricular repairs in DORV. Further work is needed to demonstrate clinical benefit or improvement in outcomes.
Identifiants
pubmed: 33689734
pii: S0003-4975(21)00457-4
doi: 10.1016/j.athoracsur.2021.02.058
pmc: PMC8154721
mid: NIHMS1698606
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
2078-2083Subventions
Organisme : NHLBI NIH HHS
ID : R01 HL153166
Pays : United States
Organisme : NIGMS NIH HHS
ID : T32 GM008562
Pays : United States
Informations de copyright
Copyright © 2021 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Références
World J Pediatr Congenit Heart Surg. 2016 May;7(3):414-6
pubmed: 27009890
Eur J Cardiothorac Surg. 2017 Dec 1;52(6):1139-1148
pubmed: 28977423
Comput Med Imaging Graph. 2003 Jul-Aug;27(4):255-65
pubmed: 12631510
IEEE Trans Med Robot Bionics. 2020 May;2(2):108-117
pubmed: 33748693
Echocardiography. 2017 May;34(5):802-804
pubmed: 28317159