Computer-assisted ventricular reduction surgery

被引:2
作者
Szabó, G [1 ]
Soós, P [1 ]
Seres, L [1 ]
Beller, CJ [1 ]
Juhász-Nagy, A [1 ]
机构
[1] Univ Heidelberg, Dept Cardiac Surg, D-6900 Heidelberg, Germany
来源
CARS 2005: Computer Assisted Radiology and Surgery | 2005年 / 1281卷
关键词
heart failure; ventricular reduction; computer modeling; force-length relationship;
D O I
10.1016/j.ics.2005.03.007
中图分类号
TP39 [计算机的应用];
学科分类号
081203 ; 0835 ;
摘要
It has been Suggested that ventricular volume reduction surgery can reconstitute stress-strain relations of the left ventricle. Based oil a cylindrical model of the left ventricle, regional force-length relationships were computed to predict the effects of volume reduction. Free wall plication, a recently developed operation method for ventricular reduction was performed in 6 anesthetized dogs with pacing induced heart failure. Intraoperative pressure-volume analysis was performed by the conductance catheter technique and regional force-length relationships were calculated to achieve optimal reshaping of the left ventricle. Computer modelling allowed the optimization of preoperative planning and maximalizing force-length relationships intraopratively. Furthermore, free wall plication can be performed without cardiopulmonary bypass and thereby provides a less invasive approach for ventricular reconstruction. (c) 2005 CARS & Elsevier B.V. All rights reserved.
引用
收藏
页码:779 / 782
页数:4
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