<p>The selection of biventricular repair or Fontan completion for single-ventricle patients remains difficult to determine in borderline patients. We report how the use of a 3-dimensional virtual reality model informed an accurate estimation of a 34-month-old child’s ventricular chamber size to confirm Fontan completion. Developed from CT scan imaging, the model simulated a virtual biventricular repair and demonstrated inadequate outflow tracts after patching and baffle rerouting. This case demonstrates the implications of virtual reality for congenital heart disease surgical planning, providing a shared, intuitive platform for multidisciplinary discussion and consensus-building among surgeons, cardiologists, imagers, and anesthesiologists.</p>

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Virtual reality modeling for multidisciplinary surgical planning for complex single ventricular physiology

  • Anokha Nathan,
  • Dhruvil A. Patel,
  • Priya Nair,
  • Michael G. Earing,
  • Stephen Pophal,
  • Madhusudan Ganigara

摘要

The selection of biventricular repair or Fontan completion for single-ventricle patients remains difficult to determine in borderline patients. We report how the use of a 3-dimensional virtual reality model informed an accurate estimation of a 34-month-old child’s ventricular chamber size to confirm Fontan completion. Developed from CT scan imaging, the model simulated a virtual biventricular repair and demonstrated inadequate outflow tracts after patching and baffle rerouting. This case demonstrates the implications of virtual reality for congenital heart disease surgical planning, providing a shared, intuitive platform for multidisciplinary discussion and consensus-building among surgeons, cardiologists, imagers, and anesthesiologists.