Evidence map›Paper›PMID 40038769›Full record

ArticleJournal of cardiothoracic surgery2025

Application feasibility of virtual models and computational fluid dynamics for the planning and evaluation of aortic repair surgery for Williams syndrome.

Jixiang Liang, Xuewei Fang, Dianyuan Li, Guangyu Pan, Gen Zhang, Bingheng Lu

Abstract readEvaluation Study
In one paragraph

Article in Journal of cardiothoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jixiang LiangSchool of Mechanical Engineering, Xi'an Jiaotong University, No. 99 Yan Cheung Road, Shaanxi, Shaanxi, China.
Xuewei FangSchool of Mechanical Engineering, Xi'an Jiaotong University, No. 99 Yan Cheung Road, Shaanxi, Shaanxi, China. xueweifang@mail.xjtu.edu.cn.
Dianyuan LiDepartment of Cardiovascular Surgery, Nanjing Medical University Affiliated Suzhou Hospital: Suzhou Municipal Hospital, Jiangsu, China.
Guangyu PanDepartment of Cardiovascular Surgery, Peking University International Hospital, Beijing, China.
Gen ZhangDepartment of Cardiovascular Surgery, Nanjing Medical University Affiliated Suzhou Hospital: Suzhou Municipal Hospital, Jiangsu, China.
Bingheng LuSchool of Mechanical Engineering, Xi'an Jiaotong University, No. 99 Yan Cheung Road, Shaanxi, Shaanxi, China.

Funding

Nanjing Medical University Affiliated Suzhou Hospital Research Grant GSRCKY20210101
6 · The paper itself

Abstract

backgroundAccurate diagnosis and evaluation of Williams Syndrome (WS) are essential yet challenging for effective surgical management. This study aimed to quantify the hemodynamic changes of surgical repair for WS through virtual surgery and computational fluid dynamics (CFD) for surgical guidance and postoperative evaluation.

methodsA patient preliminarily diagnosed with WS was included in this study. 3D model alongside hemodynamic analysis was used to guide and evaluate the surgical procedure. Preoperative, predictive and postoperative models were created and analyzed using CFD. Key parameters, including blood flow velocity, pressure differences, wall shear stress, and other critical factors, were assessed to evaluate the surgery's effectiveness.

resultsIn the hemodynamics analysis, the CFD results of predictive model and postoperative model demonstrated a high level of consistency, and showed significant differences compared to the preoperative model. The velocity at the stenosis on the aorta decreased from 5.6 m/s before the operation to 1.6 m/s in the virtual model and 1.5 m/s in the postoperative model. Surgical repair increased the proportion of outlet flow of the descending aorta (dAo) from 28.7% to 35.5%.

conclusionsVirtual surgery and CFD can predict surgical outcomes, enabling doctors to optimize and rehearse the procedure before the actual surgery. The method of predicting surgery through virtual surgery and CFD is accurate and feasible.

trial registrationRegistered by the Ethics Committee of Peking University International Hospital (No. IRB2019-062).

Indexed as

Aorta, ThoracicHydrodynamicsVascular Surgical ProceduresWilliams SyndromeChildComputer SimulationFeasibility StudiesHemodynamicsHumansImaging, Three-DimensionalMaleAortic repairComputational fluid dynamicsSurgical planningVirtual modelsWilliams syndrome

Identifiers

PMID40038769
PMCPMC11877912

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.