Bove E L, de Leval M R, Migliavacca F, Balossino R, Dubini G
Department of Surgery, Section of Cardiac Surgery, University of Michigan School of Medicine, Ann Arbor, MI 48109, USA.
Pediatr Cardiol. 2007 Nov-Dec;28(6):477-81. doi: 10.1007/s00246-007-9009-y.
The construction of efficient designs with minimal energy losses is especially important for cavopulmonary connections. The science of computational fluid dynamics has been increasingly used to study the hemodynamic performance of surgical operations. Three-dimensional computer models can be accurately constructed of typical cavopulmonary connections used in clinical practice based on anatomic data derived from magnetic resonance scans, angiocardiograms, and echocardiograms. Using these methods, the hydraulic performance of the hemi-Fontan, bidirectional Glenn, and a variety of types of completion Fontan operations can be evaluated and compared. This methodology has resulted in improved understanding and design of these surgical operations.
构建具有最小能量损失的高效设计对于腔肺连接尤为重要。计算流体动力学科学已越来越多地用于研究外科手术的血流动力学性能。基于磁共振扫描、心血管造影和超声心动图获得的解剖数据,可以精确构建临床实践中使用的典型腔肺连接的三维计算机模型。使用这些方法,可以评估和比较半Fontan手术、双向Glenn手术以及各种类型的完全Fontan手术的水力性能。这种方法有助于更好地理解和设计这些外科手术。