The Utility of Simulation in the Management of Patients With Congenital Heart Disease: Past, Present, and Future

2017 ◽  
Vol 22 (1) ◽  
pp. 81-90 ◽  
Author(s):  
Ali Subat ◽  
Andrew Goldberg ◽  
Samuel Demaria ◽  
Daniel Katz
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Intraoperative Complications ◽  
Care Providers ◽  
3 Dimensional ◽  
Area Of Interest ◽  
Current State ◽  
Simulation Based ◽  
High Acuity

Significant advancements have been made in the diagnosis and management of congenital heart disease (CHD). As a result, a higher percentage of these patients are surviving to adulthood. Despite this improvement in management, these patients remain at higher risk of morbidity and mortality, particularly in the perioperative setting. One new area of interest in these patients is the implementation of simulation-based medical education. Simulation has demonstrated various benefits across high-acuity scenarios encountered in the hospital. In CHD, simulation has been used in the training of pediatrics residents, assessment of intraoperative complications, echocardiography, and anatomic modeling with 3-dimensional printing. Here, we describe the current state of simulation in CHD, its role in training care providers for the management of this population, and future directions of CHD simulation.

Printing 3D Heart Models From CT Scans Using Materialize: A Congenital Heart Disease Program at the American University of Beirut (AUB)

2017 ◽  
Author(s):  
Ramsey F. Hamade ◽  
Mohammad Karim Elham ◽  
Issam El Rassi ◽  
Lamya Atweh ◽  
Ziad Bulbul ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Blood Volume ◽  
Congenital Heart ◽  
3D Models ◽  
American University ◽  
3 Dimensional ◽  
American University Of Beirut ◽  
East Region ◽  
Value Range

Presented in this work is a detailed methodology of how to properly print 3-dimensional (3D) heart models starting from computed tomography (CT) scan and using the Mimics Innovation Suite (Mimics and 3-matic) software package (from Materialize, Leuven, Belgium). The methodology starts by segmenting the clinical DICOM files to retain masks of gray value range of interest. Specifically, retained is the blood volume contained in the heart. Using Mimics, this is accomplished by creating mask and then editing and refining the relevant mask in order to isolate the blood within a certain range of Hounsfield Units (HU). A second mask is created using different gray value ranges to isolate the tissues of the heart. Both 3D models are transferred to 3-matic where integrated Boolean operations are executed to subtract the geometric entities thus retaining the 3D geometry of the heart (including myocardium, cavities, and arteries) of interest. The retained model geometry consists of the muscle surface of the heart and enclosing the hollowed cavities inside that represent the blood volume. Following further processing in 3-matic, the 3D model is now ready for 3D printing. At the American University of Beirut (AUB), a ProJet 3510 SD (3D Systems) is employed to print the heart models (both sectioned and whole). Printed 3D models are employed within the Program for Congenital Heart Disease at AUB that represents a model for clinical applications, education, and research as the first such initiative in Lebanon and the Middle East region.

scholarly journals Struggling and Overcoming Daily Life Barriers Among Children With Congenital Heart Disease and Their Parents in the West Bank, Palestine

2018 ◽  
Vol 24 (4) ◽  
pp. 585-611 ◽  
Author(s):  
Kawther Elissa ◽  
Carina Sparud-Lundin ◽  
Åsa B. Axelsson ◽  
Salam Khatib ◽  
Ewa-Lena Bratt
Keyword(s):  
Health Care ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Health Care Providers ◽  
Congenital Heart ◽  
Daily Life ◽  
West Bank ◽  
Well Being ◽  
Negative Consequences ◽  
Care Providers

Advances in early diagnosis, treatment, and postoperative care have resulted in increased survival rates among children with congenital heart disease (CHD). Research focus has shifted from survival to long-term follow-up, well-being, daily life experiences, and psychosocial consequences. This study explored the everyday experiences of children with CHD and of their parents living in the Palestinian West Bank. Interviews with nine children aged 8 to 18 years with CHD and nine parents were analyzed using content analysis. The overall theme that emerged was facing and managing challenges, consisting of four themes: sociocultural burden and finding comfort, physical and external limitations, self-perception and concerns about not standing out, and limitations in access to health care due to the political situation. To provide optimum care for children with CHD and their parents, health care providers and policy makers must understand the negative consequences associated with sociocultural conditions and beliefs about chronic illness.

scholarly journals Unsupervised free-breathing 3-dimensional imaging of morphology, function and flow in congenital heart disease under 30 minutes: pilot study

2014 ◽  
Vol 16 (S1) ◽  
Author(s):  
Rajesh Krishnamurthy ◽  
Ramkumar Krishnamurthy ◽  
Elijah Bolin ◽  
LaDonna Malone ◽  
Myriam E Almeida-Jones ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Pilot Study ◽  
Congenital Heart ◽  
Free Breathing ◽  
3 Dimensional

Current state of interventional cardiology in congenital heart disease

2015 ◽  
Vol 100 (8) ◽  
pp. 787-792 ◽  
Author(s):  
J R Bentham ◽  
J D R Thomson
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Congenital Heart ◽  
Complex Disease ◽  
Interventional Cardiology ◽  
Surgical Approaches ◽  
Hybrid Procedures ◽  
Current State ◽  
Recent Advances

Congenital interventional cardiology seeks to provide alternative percutaneous solutions to congenital cardiac problems in preference to more traditional surgical approaches. Simpler procedures have been refined and are now achievable in smaller children and infants. More complex procedures are increasingly recognised as superior to surgical alternatives, though most patients with complex disease inevitably undergo combinations of interventional, surgical and joint or hybrid procedures. This review seeks to highlight recent advances in these techniques of most interest to the readership of this journal.

Real-Time 3-Dimensional Echocardiography Evaluation of Congenital Heart Disease

2000 ◽  
Vol 13 (3) ◽  
pp. 171-176 ◽  
Author(s):  
Lorena Balestrini ◽  
Craig Fleishman ◽  
Laura Lanzoni ◽  
Joseph Kisslo ◽  
A.Resai Bengur ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Real Time ◽  
Congenital Heart ◽  
3 Dimensional ◽  
Dimensional Echocardiography

Pediatric Cardiology, by Mary Allen Engle, Guest Editor (Cardiovascular Clinics Series, Vol. 4, No. 3). Philadelphia: F. A. Davis Company, 1972, 366 pp., $12.00

PEDIATRICS ◽  
1973 ◽  
Vol 52 (6) ◽  
pp. 899-899
Author(s):  
Carl N. Steeg
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Surgical Treatment ◽  
Tetralogy Of Fallot ◽  
Guest Editor ◽  
Congenital Heart ◽  
Pediatric Cardiology ◽  
State Of The Art ◽  
Current State ◽  
Congestive Failure

This volume seeks to present the current "state of the art in pediatric cardiology." It is an immensely readable work which has a distinguished roster of contributors who have broadly covered both newer clinical and investigative aspects of heart disease in children, as well as reviewing ever current topics such as the cyanotic newborn, congestive failure, innocent murmurs, electrocardiography, and radiography of patients with congenital heart disease, to mention a few. Other chapters deal with such subjects as neuropharmacologic studies of the perinatal myocardium, embryology and morphology of the normal and abnormal heart, pediatric aspects of atherosclerosis, surgical treatment of tetralogy of Fallot, and the pharmacology of cardio-active agents.

Sign in / Sign up

Export Citation Format

Share Document