The application value of virtual reality technology in the surgical treatment of coronary artery fistula and abnormal origin of coronary artery
10.7507/1007-4848.201811041
- VernacularTitle:虚拟现实技术在冠状动脉瘘和冠状动脉异常起源外科诊疗中的应用价值
- Author:
QIU Hailong
1
;
ZHUANG Jian
2
,
3
;
CEN Jianzheng
2
,
3
;
HUANG Meiping
2
,
4
;
GAO Qiang
2
,
3
;
CHEN Jimei
2
,
3
;
WEN Shusheng
2
,
3
;
XU Gang
2
,
3
;
CUI Hujun
2
,
3
;
CAI Xiaowei
1
Author Information
1. Guangdong General Hospital, School of Medicine, South China University of Technology, Guangzhou, 510080, P.R.China
2. 1. Guangdong General Hospital, School of Medicine, South China University of Technology, Guangzhou, 510080, P.R.China
3. 2. Department of Cardiac Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, P.R.China
4. 3. Department of Catheterization Lab, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, P.R.China
- Publication Type:Journal Article
- Keywords:
Virtual reality technology;
coronary artery fistula;
abnormal origin of coronary artery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(3):217-221
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the application value of virtual reality (VR) technology in the surgical treatment of coronary artery fistula (CAF) and abnormal origin of coronary artery (AOOCA). Methods From January 2014 to June 2018, with the assistance of virtual reality technology, 4 patients with CAF and 4 patients with AOOCA in the Department of Cardiac Surgery of our hospital underwent treatment method deciding and operation details planning. In the CAF patients, there was 1 male and 3 females and they were 8 years, 16 years, 62 years, and 65 years, respectively. In the AOOCA patients, there was 1 male and 3 females at age of 4-month, 2 years, 14 years, and 29 years, respectively. Results The virtual heart models in all 8 patients were well matched with the real heart. The spatial structure information of CAF/AOOCA and surroundings can be intuitively and fully shown by virtual reality technology in all patients. All of the 4 CAF patients repaired coronary artery incision, including 2 patients with autologous pericardium patch and 2 patients with direct suture. Of the 4 AOOCA patients, 3 underwent coronary directly transplantation but 1 underwent Takeuchi surgery. And 2 had mitral valve plasty at the same time. All the operations were completed successfully, with good recovery and no serious complications. Among the 4 CAF patients, 3 had no residual fistula, and 1 had minor residual fistula. Coronary arteries were all unobstructed in 4 patients of AOOCA; moderate and severe mitral regurgitation in 2 patients were significantly reduced after surgery. Conclusion VR allows doctors to understand the spatial structure information of CAF/AOOCA and surroundings before the operation, and assists them to make accurate treatment decisions and develop detailed surgical plans before the operation, ensuring its safety. Its clinical application value is significant.
