Hemodynamic simulation of complete transposition of the great arteries for optimal treatment strategies based on its circulatory physiology

Author:

Sato Kaname1ORCID,Takamizawa Koichi1,Ogawa Yosuke1ORCID,Tanaka Yu1,Shiraga Kazuhiro1,Masuda Hitomi1,Matsui Hikoro1ORCID,Inuzuka Ryo1,Senzaki Hideaki23ORCID

Affiliation:

1. Department of Pediatrics, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

2. Comprehensive Support Center for Children’s Happy Life and Future, Nihon Institute of Medical Science University, Saitama, Japan

3. GK Choko: Comprehensive Support Center for Children’s Happy lives and Futures, Saitama, Japan

Abstract

Complete transposition of the great arteries (TGA) represents complex and unique circulation that is dependent on blood mixing through multiple interacting shunts. Consequently, the role of each shunt and the treatment strategy remain unclear. We developed a mathematical model of TGA circulation, revealing the significant influence of atrial septal defect (ASD) on oxygenation and hemodynamics. The blood flow pattern through the ASD reflects its hemodynamic impact and helps determine treatment strategies.

Publisher

American Physiological Society

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