The application value of virtual reality technology in the surgical treatment of coronary artery fistula and abnormal origin of coronary artery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

QIU Hailong ¹ ,  ZHUANG Jian ^1,2 , CEN Jianzheng ^1,2 , HUANG Meiping ^1,3 , GAO Qiang ^1,2 , CHEN Jimei ^1,2 , WEN Shusheng ^1,2 , XU Gang ^1,2 , CUI Hujun ^1,2 , CAI Xiaowei ¹

1. Guangdong General Hospital, School of Medicine, South China University of Technology, Guangzhou, 510080, P.R.China;
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;
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;

Corresponding?author：

ZHUANG Jian, Email: zhuangjian5413@tom.com

Keywords：

Virtual reality technology; coronary artery fistula; abnormal origin of coronary artery

DOI：

10.7507/1007-4848.201811041

Video：

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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.

Citation： QIU Hailong, ZHUANG Jian, CEN Jianzheng, HUANG Meiping, GAO Qiang, CHEN Jimei, WEN Shusheng, XU Gang, CUI Hujun, CAI Xiaowei. The application value of virtual reality technology in the surgical treatment of coronary artery fistula and abnormal origin of coronary artery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(3): 217-221. doi: 10.7507/1007-4848.201811041 Copy

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7.	de Faria JW, Teixeira MJ, de Moura Sousa Júnior L, et al. Virtual and stereoscopic anatomy: when virtual reality meets medical education. J Neurosurg, 2016, 125(5): 1105-1111.
8.	Yiannakopoulou E, Nikiteas N, Perrea D, et al. Virtual reality simulators and training in laparoscopic surgery. Int J Surg (Lond, Engl), 2015: 1360-1364.
9.	Piromchai P, Avery A, Laopaiboon M, et al. Virtual reality training for improving the skills needed for performing surgery of the ear, nose or throat. Cochrane Database Syst Rev, 2015, (9): CD010198.
10.	Ong CS, Loke YH, Opfermann J, et al. Virtual surgery for conduit reconstruction of the right ventricular outflow tract. World J Pediatr Congenit Heart Surg, 2017, 8(3): 391-393.
11.	Ong CS, Krishnan A, Huang CY, et al. Role of virtual reality in congenital heart disease. Congenit Heart Dis, 2018, 13(3): 357-361.
12.	馮燦, 郭俊, 冀濤, 等. 電解彈簧圈介入治療冠狀動脈瘺的單中心經驗--可行性、安全性分析. 介入放射學雜志, 2015, 24(5): 373-377.
13.	楊舟, 陳智, 黃希勇, 等. 第二代Amplatzer動脈導管未閉封堵器經導管封堵冠狀動脈瘺的臨床觀察. 臨床兒科雜志, 2015, 33(8): 756-757.
14.	Karimi M, Kirshbom PM. Anomalous origins of coronary arteries from the pulmonary artery: a comprehensive review of literature and surgical options. World J Pediatr Congenit Heart Surg, 2015, 6(4): 526-540.
15.	Yau JM, Singh R, Halpern EJ, et al. Anomalous origin of the left coronary artery from the pulmonary artery in adults: a comprehensive review of 151 adult cases and a new diagnosis in a 53-year-old woman. Clin Cardiol, 2011, 34(4): 204-210.

1. Dodge-Khatami A, Mavroudis C, Backer CL. Congenital heart surgery nomenclature and database project: anomalies of the coronary arteries. Ann Thorac Surg, 2000, 69(3 Suppl 1): 270-7.
2. Dimitrakakis G, Von Oppell U, Luckraz H, et al. Surgical repair of triple coronary-pulmonary artery fistulae with associated atrial septal defect and aortic valve regurgitation. Interact Cardiovasc Thorac Surg, 2008, 7: 933-934.
3. Keith JD. The anomalous origin of the left coronary artery from the pulmonary artery. Br Heart J, 1959, 21(2): 149-161.
4. Pensieri C, Pennacchini M. Overview: virtual reality in medicine. J Virtual Worlds Res, 2014, 7(1): 1-34.
5. Bao X, Mao Y, Lin Q, et al. Mechanism of Kinect-based virtual reality training for motor functional recovery of upper limbs after subacute stroke. Neural Regener Res, 2013, 8(31): 2904-2913.
6. Schneider SM, Kisby CK, Flint EP. Effect of virtual reality on time perception in patients receiving chemotherapy. Support Care Cancer, 2011, 19: 555-564.
7. de Faria JW, Teixeira MJ, de Moura Sousa Júnior L, et al. Virtual and stereoscopic anatomy: when virtual reality meets medical education. J Neurosurg, 2016, 125(5): 1105-1111.
8. Yiannakopoulou E, Nikiteas N, Perrea D, et al. Virtual reality simulators and training in laparoscopic surgery. Int J Surg (Lond, Engl), 2015: 1360-1364.
9. Piromchai P, Avery A, Laopaiboon M, et al. Virtual reality training for improving the skills needed for performing surgery of the ear, nose or throat. Cochrane Database Syst Rev, 2015, (9): CD010198.
10. Ong CS, Loke YH, Opfermann J, et al. Virtual surgery for conduit reconstruction of the right ventricular outflow tract. World J Pediatr Congenit Heart Surg, 2017, 8(3): 391-393.
11. Ong CS, Krishnan A, Huang CY, et al. Role of virtual reality in congenital heart disease. Congenit Heart Dis, 2018, 13(3): 357-361.
12. 馮燦, 郭俊, 冀濤, 等. 電解彈簧圈介入治療冠狀動脈瘺的單中心經驗--可行性、安全性分析. 介入放射學雜志, 2015, 24(5): 373-377.
13. 楊舟, 陳智, 黃希勇, 等. 第二代Amplatzer動脈導管未閉封堵器經導管封堵冠狀動脈瘺的臨床觀察. 臨床兒科雜志, 2015, 33(8): 756-757.
14. Karimi M, Kirshbom PM. Anomalous origins of coronary arteries from the pulmonary artery: a comprehensive review of literature and surgical options. World J Pediatr Congenit Heart Surg, 2015, 6(4): 526-540.
15. Yau JM, Singh R, Halpern EJ, et al. Anomalous origin of the left coronary artery from the pulmonary artery in adults: a comprehensive review of 151 adult cases and a new diagnosis in a 53-year-old woman. Clin Cardiol, 2011, 34(4): 204-210.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

The application value of virtual reality technology in the surgical treatment of coronary artery fistula and abnormal origin of coronary artery

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