About this item:

49 Views | 11 Downloads

Author Notes:

Ajit P. Yoganathan, 404-502-7869 ajit.yoganathan@bme.gatech.edu.

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000.

Informed consent was obtained from all patients for being included in the study

Phillip Trusty, Timothy Slesnick, Alan Wei, Jarek Rossignac, Kirk Kanter, and Ajit Yoganathan declare that they have no conflict of interest.

Mark Fogel received a research grant.

Subjects:

Research Funding:

This work was funded by NHLBI Grants HL67622 and HL098252 as well as an American Heart Association Predoctoral fellowship 17PRE33630117.

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Cardiac & Cardiovascular Systems
  • Medicine, Research & Experimental
  • Cardiovascular System & Cardiology
  • Research & Experimental Medicine
  • Fontan
  • Patient specific
  • Surgical planning
  • Pre-operative planning
  • Hepatic flow distribution
  • TOTAL CAVOPULMONARY CONNECTION
  • COMPUTATIONAL FLUID-DYNAMICS
  • PULMONARY ARTERIOVENOUS-MALFORMATION
  • SINGLE-VENTRICLE PATIENTS
  • BLOOD-FLOW
  • SIMULATIONS
  • OPERATION
  • EFFICIENCY
  • CIRCULATION
  • GEOMETRY

Fontan Surgical Planning: Previous Accomplishments, Current Challenges, and Future Directions

Tools:

Journal Title:

Journal of Cardiovascular Translational Research

Volume:

Volume 11, Number 2

Publisher:

, Pages 133-144

Type of Work:

Article | Post-print: After Peer Review

Abstract:

The ultimate goal of Fontan surgical planning is to provide additional insights into the clinical decision-making process. In its current state, surgical planning offers an accurate hemodynamic assessment of the pre-operative condition, provides anatomical constraints for potential surgical options, and produces decent post-operative predictions if boundary conditions are similar enough between the pre-operative and post-operative states. Moving forward, validation with post-operative data is a necessary step in order to assess the accuracy of surgical planning and determine which methodological improvements are needed. Future efforts to automate the surgical planning process will reduce the individual expertise needed and encourage use in the clinic by clinicians. As post-operative physiologic predictions improve, Fontan surgical planning will become an more effective tool to accurately model patient-specific hemodynamics.

Copyright information:

© �Springer Science+Business Media, LLC, part of Springer Nature 2018

Export to EndNote