Physical Models Aiding in Complex Congenital Heart Surgery

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Presentation transcript:

Physical Models Aiding in Complex Congenital Heart Surgery Sibylle Mottl-Link, MD, Michael Hübler, MD, Titus Kühne, MD, Urte Rietdorf, Julia J. Krueger, MD, Bernhard Schnackenburg, PhD, Raffaele De Simone, MD, Felix Berger, MD, Amy Juraszek, MD, Hans-Peter Meinzer, PhD, Matthias Karck, MD, Roland Hetzer, MD, PhD, Ivo Wolf, PhD The Annals of Thoracic Surgery Volume 86, Issue 1, Pages 273-277 (July 2008) DOI: 10.1016/j.athoracsur.2007.06.001 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 RepliCast model from the (A) right posterior, (B) left anterior, (C) right anterior, (D) cranial, and (E) basal views. There is atrioventricular discordance with connections of the right atrium (RA) to the morphologically left ventricle (LV) on the right side. The left atrium (LA) with an enlarged left atrial appendage (LAA) is connected with the morphologically right ventricle (RV) on the left side. A dilated aorta (Ao) rises from the right ventricle. The left coronary artery (LCA) and right coronary artery (RCA) rise from a common origin of the coronary arteries (CO). (A = anterior; L = left; LAD = left anterior decending coronary artery; LCX = left circumflex; P = posterior; R = right.) The Annals of Thoracic Surgery 2008 86, 273-277DOI: (10.1016/j.athoracsur.2007.06.001) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) The RepliCardio model consists of two pieces (B and C). A single cut divides the right atrium (RA) and the left ventricle (LV), allowing the view on the mitral valve annulus (MVA), two papillary muscles (PM), the left anterior descending coronary artery (LAD), ventricular septal defect (VSD), ventricular septum (VS), atrial septal defect (ASD), and the aorta (Ao). (A = anterior; L = left; P = posterior; R = right.) The Annals of Thoracic Surgery 2008 86, 273-277DOI: (10.1016/j.athoracsur.2007.06.001) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Reconstructed three-dimensional magnetic resonance imaging data set of the patient showing the views in three dimensions (lower right: positions of the transversal, vertical and sagittal slice within the three-dimensional data set; upper left: transversal image slice; lower left: vertical image slice; upper right: sagittal image slice). The Annals of Thoracic Surgery 2008 86, 273-277DOI: (10.1016/j.athoracsur.2007.06.001) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Virtual surface of the (A) RepliCast and (B) RepliCardio, which can be viewed with red-blue glasses for optimal virtual imagination. The Annals of Thoracic Surgery 2008 86, 273-277DOI: (10.1016/j.athoracsur.2007.06.001) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions