Patient-Specific Modeling of Hemodynamics: Supporting Surgical Planning in a Fontan Circulation Correction

J Cardiovasc Transl Res. 2018 Apr;11(2):145-155. doi: 10.1007/s12265-017-9781-x. Epub 2018 Jan 8.

Abstract

Computational fluid dynamics (CFD) is a modeling technique that enables calculation of the behavior of fluid flows in complex geometries. In cardiovascular medicine, CFD methods are being used to calculate patient-specific hemodynamics for a variety of applications, such as disease research, noninvasive diagnostics, medical device evaluation, and surgical planning. This paper provides a concise overview of the methods to perform patient-specific computational analyses using clinical data, followed by a case study where CFD-supported surgical planning is presented in a patient with Fontan circulation complicated by unilateral pulmonary arteriovenous malformations. In closing, the challenges for implementation and adoption of CFD modeling in clinical practice are discussed.

Keywords: Computational fluid dynamics; Hemodynamics; Patient-specific modeling; Pulmonary arteriovenous malformations; Single ventricle; Surgical planning.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Adolescent
  • Clinical Decision-Making
  • Computed Tomography Angiography*
  • Coronary Angiography / methods*
  • Female
  • Fontan Procedure / adverse effects
  • Fontan Procedure / methods*
  • Heart Defects, Congenital / diagnostic imaging*
  • Heart Defects, Congenital / pathology
  • Heart Defects, Congenital / physiopathology
  • Heart Defects, Congenital / surgery*
  • Hemodynamics
  • Humans
  • Models, Cardiovascular*
  • Patient Selection
  • Patient-Centered Care / methods
  • Patient-Specific Modeling*
  • Predictive Value of Tests
  • Surgery, Computer-Assisted / adverse effects
  • Surgery, Computer-Assisted / methods*
  • Time-to-Treatment
  • Ventricular Function