Simulation of Congenital Heart Defect Corrective Surgeries Using Thin Shell Elements

Abstract

International audienceCongenital heart defect (CHD) corrective interventions in infants are extremely challenging due to commonly complex and heterogeneous disease pat-terns. At present, cardiac surgeons can only rely on non-invasive imaging prior to surgery. Critical decisions regarding the surgical procedure of choice and its exe-cution must be made during the actual surgery and are strongly dependent on ex-perience. We want to improve surgery planning by providing a simulation system that is able to accurately predict patient-specific results for different surgical pro-cedures preoperatively. Therefore we use a sophisticated simulation model based on thin shell elements. We present a novel joining approach that allows for im-plementing all necessary surgical low-level procedures, e.g. incising and suturing, independent from the simulation model. No modifications are necessary for al-ready approved thin shell implementations and our simulation system can instan-taneously benefit from further improved simulation models in the future. By re-ducing computationally expensive simulations to a minimum during a virtual surgery we can achieve a fluent workflow for surgeons. However, a specialized mesh resampling algorithm is required to fully utilize our simulation system