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- Title
Multidisciplinary preoperative simulations to optimize surgical outcomes in a challenging case of the complete double aortic arch in the adult.
- Authors
Totaro, Pasquale; Marconi, Stefania; Morganti, Simone; Corsico, Angelo Guido; Pelenghi, Stefano; Auricchio, Ferdinando
- 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.
- Subjects
THORACIC aorta; ENGINEERING simulations; DECISION making; DIAGNOSIS methods
- Publication
Journal of Cardiac Surgery, 2020, Vol 35, Issue 3, p716
- ISSN
0886-0440
- Publication type
case study
- DOI
10.1111/jocs.14448