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Multidisciplinary preoperative simulations to optimize surgical outcomes in a challenging case of the complete double aortic arch in the adult.
- Source :
-
Journal of Cardiac Surgery . Mar2020, Vol. 35 Issue 3, p716-720. 5p. 4 Diagrams. - Publication Year :
- 2020
-
Abstract
- <bold>Background: </bold>Challenging surgical cases are becoming more and more frequent, making the optimization of decision making process and an accurate preoperative planning mandatory in order to improve postoperative outcomes.<bold>Aims: </bold>Here we present an original multidisciplinary approach aimed at optimizing decision making in a peculiar case of double aortic arch (DAA) presenting in an adult patient.<bold>Materials and Methods: </bold>Following the diagnosis of DAA, based on conventional exams, a three steps engineering simulation was adopted including: a) three-dimensional (3D) rapid prototype simulation; b) computational fluid-dynamic analysis; c) 3D virtual simulation of surgical exposure.<bold>Results: </bold>Based on careful evaluation of such simulations we were able to identify optimal anatomical and functional surgical options, along with the optimal surgical approach.<bold>Discussion: </bold>In peculiar clinical case, a significant step forward to optimize preoperative surgical planning could be obtained applying current available engineering techniques.<bold>Conclusion: </bold>We do believe that a multidisciplinary approach could become mandatory, in challenging cases, to optimize preoperative planning and outcomes. [ABSTRACT FROM AUTHOR]
- Subjects :
- *THORACIC aorta
*ENGINEERING simulations
*DECISION making
*DIAGNOSIS methods
Subjects
Details
- Language :
- English
- ISSN :
- 08860440
- Volume :
- 35
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Journal of Cardiac Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 142082508
- Full Text :
- https://doi.org/10.1111/jocs.14448