Abstract:
:Newborns with single ventricle physiology are usually palliated with a multi-staged procedure. When cardiovascular complications e.g., collateral vessel formation occur during the inter-stage periods, further treatments are required. An 8-month-old patient, who underwent second stage (i.e., bi-directional Glenn, BDG) surgery at 4 months, was diagnosed with a major veno-venous collateral vessel (VVC) which was endovascularly occluded to improve blood oxygen saturations. Few clinical data were collected at 8 months, whereas at 4 months a more detailed data set was available. The aim of this study is threefold: (i) to show how to build a patient-specific model describing the hemodynamics in the presence of VVC, using patient-specific clinical data collected at different times; (ii) to use this model to perform virtual VVC occlusion for quantitative hemodynamics prediction; and (iii) to compare predicted hemodynamics with post-operative measurements. The three-dimensional BDG geometry, resulting from the virtual surgery on the first stage model, was coupled with a lumped parameter model (LPM) of the 8-month patient's circulation. The latter was developed by scaling the 4-month LPM to account for changes in vascular impedances due to growth and adaptation. After virtual VVC closure, the model confirmed the 2 mmHg BDG pressure increase, as clinically observed, suggesting the importance of modeling vascular adaptation following the BDG procedure.
journal_name
Ann Biomed Engjournal_title
Annals of biomedical engineeringauthors
Corsini C,Baker C,Baretta A,Biglino G,Hlavacek AM,Hsia TY,Kung E,Marsden A,Migliavacca F,Vignon-Clementel I,Pennati G,Modeling of Congenital Hearts Alliance (MOCHA) Investigators.doi
10.1007/s10439-014-1113-6subject
Has Abstractpub_date
2015-06-01 00:00:00pages
1310-20issue
6eissn
0090-6964issn
1573-9686journal_volume
43pub_type
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