Premium
Multidisciplinary preoperative simulations to optimize surgical outcomes in a challenging case of the complete double aortic arch in the adult
Author(s) -
Totaro Pasquale,
Marconi Stefania,
Morganti Simone,
Corsico Angelo Guido,
Pelenghi Stefano,
Auricchio Ferdinando
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14448
Subject(s) - medicine , multidisciplinary approach , double aortic arch , aortic arch , arch , surgery , aorta , civil engineering , engineering , social science , sociology
Background 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. Aims 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. Materials and Methods 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. Results Based on careful evaluation of such simulations we were able to identify optimal anatomical and functional surgical options, along with the optimal surgical approach. Discussion In peculiar clinical case, a significant step forward to optimize preoperative surgical planning could be obtained applying current available engineering techniques. Conclusion We do believe that a multidisciplinary approach could become mandatory, in challenging cases, to optimize preoperative planning and outcomes.