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Proceedings Paper

Planning of vessel grafts for reconstructive surgery in congenital heart diseases
Author(s): U. Rietdorf; E. Riesenkampff; T. Schwarz; T. Kuehne; H.-P. Meinzer; I. Wolf
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Paper Abstract

The Fontan operation is a surgical treatment for patients with severe congenital heart diseases, where a biventricular correction of the heart can't be achieved. In these cases, a uni-ventricular system is established. During the last step of surgery a tunnel segment is placed to connect the inferior caval vein directly with the pulmonary artery, bypassing the right atrium and ventricle. Thus, the existing ventricle works for the body circulation, while the venous blood is passively directed to the pulmonary arteries. Fontan tunnels can be placed intra- and extracardially. The location, length and shape of the tunnel must be planned accurately. Furthermore, if the tunnel is placed extracardially, it must be positioned between other anatomical structures without constraining them. We developed a software system to support planning of the tunnel location, shape, and size, making pre-operative preparation of the tunnel material possible. The system allows for interactive placement and adjustment of the tunnel, affords a three-dimensional visualization of the virtual Fontan tunnel inside the thorax, and provides a quantification of the length, circumferences and diameters of the tunnel segments. The visualization and quantification can be used to plan and prepare the tunnel material for surgery in order to reduce the intra-operative time and to improve the fit of the tunnel patch.

Paper Details

Date Published: 23 February 2010
PDF: 8 pages
Proc. SPIE 7625, Medical Imaging 2010: Visualization, Image-Guided Procedures, and Modeling, 76252W (23 February 2010); doi: 10.1117/12.844209
Show Author Affiliations
U. Rietdorf, German Cancer Research Ctr. (Germany)
E. Riesenkampff, Deutsches Herzzentrum Berlin (Germany)
T. Schwarz, German Cancer Research Ctr. (Germany)
T. Kuehne, Deutsches Herzzentrum Berlin (Germany)
H.-P. Meinzer, German Cancer Research Ctr. (Germany)
I. Wolf, German Cancer Research Ctr. (Germany)
Institut für Medizinische Informatik (Germany)

Published in SPIE Proceedings Vol. 7625:
Medical Imaging 2010: Visualization, Image-Guided Procedures, and Modeling
Kenneth H. Wong; Michael I. Miga, Editor(s)

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