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作者:

Cheng, Yeyang (Cheng, Yeyang.) | Qiao, Aike (Qiao, Aike.) (学者:乔爱科) | Yang, Yao (Yang, Yao.) | Fan, Xiangming (Fan, Xiangming.)

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摘要:

Objective To numerically compare the prospective hemodynamic outcomes between a new window surgery and a traditional surgery in the treatment of supracardiac total anomalous pulmonary venous connection (S-TAPVC). Methods A 3D geometry model, composed of pulmonary vein (PV) and left atrium (LA), was reconstructed based on summarized data with S-TAPVC. Two surgery models were established based on this model. One is the traditional surgery model, where an elliptical anastomosis was created by incising and stitching the LA and the common vein (CV) along the axis of the CV. The other is the new window surgery model, where the CV was incised with an H-shaped orifice, and LA was incised with a transposed H-shaped orifice, and then the orifice edges were stitched like a window. Two models with a relative cross sectional area (RCSA) of 300 mm(2)/m(2) and 500 mm(2)/m(2) were established, which correspond to traditional surgery and window surgery. Numerical simulation of hemodynamics was carried out. The velocity, left atrium and pulmonary vein pressure, the pressure difference of anastomosis and the energy conversion efficiency were analyzed to evaluate the prospective hemodynamic outcomes of these two operations. Results Window surgery presented a lower blood flow velocity, pressure difference, and the WSS at the anastomosis, compared to traditional surgery. In terms of energy loss, the power conversion efficiency of window surgery was significantly higher than that of traditional surgery, with 66.8% and 53.5%, respectively. Conclusion The new window surgery demonstrates a lower pressure difference of anastomosis and higher energy conversion efficiency, which may be a better choice compared with the traditional surgery for S-TAPVC patient.

关键词:

congenital heart disease hemodynamics numerical simulation surgical planning TAPVC

作者机构:

  • [ 1 ] [Cheng, Yeyang]Beijing Univ Technol, Coll Life Sci & Bioengn, Beijing, Peoples R China
  • [ 2 ] [Qiao, Aike]Beijing Univ Technol, Coll Life Sci & Bioengn, Beijing, Peoples R China
  • [ 3 ] [Yang, Yao]Capital Med Univ, Beijing Anzhen Hosp, Beijing, Peoples R China
  • [ 4 ] [Fan, Xiangming]Capital Med Univ, Beijing Anzhen Hosp, Beijing, Peoples R China

通讯作者信息:

  • [Fan, Xiangming]Capital Med Univ, Beijing Anzhen Hosp, Beijing, Peoples R China

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来源 :

FRONTIERS IN PHYSIOLOGY

ISSN: 1664-042X

年份: 2020

卷: 11

4 . 0 0 0

JCR@2022

ESI学科: BIOLOGY & BIOCHEMISTRY;

ESI高被引阀值:32

JCR分区:1

被引次数:

WoS核心集被引频次: 4

SCOPUS被引频次: 6

ESI高被引论文在榜: 0 展开所有

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