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In a pioneering effort that could reshape pediatric cardiac care, Norton Children’s Hospital is employing advanced virtual technology to help surgeons plan and rehearse complex heart repairs before ever entering the operating room, hospital officials and families say.

Celebrating Heart Month in February, the Louisville-based children’s hospital spotlighted a case that illustrates the life-changing impact of the innovation: 18-month-old Harriet “Hattie” Elzey, who was born with multiple severe heart defects linked to a rare condition called heterotaxy syndrome. Doctors nearly discovered Hattie’s congenital anomalies during a 20-week prenatal anatomy scan. Facing three serious cardiac defects, her surgical prospects once seemed daunting.

What has helped change that narrative is cutting-edge software originally developed for brain surgery that creates highly detailed, interactive 3D virtual models of a patient’s heart. Surgeons at Norton Children’s can rotate, zoom, and “enter” these digital hearts, donning virtual-reality (VR) headsets to simulate intricate repairs in three dimensions long before any scalpels are used.

“This technology gives our surgical teams the ability to walk inside a child’s heart, explore the anatomy from every angle, and rehearse the repair,” said a Norton Children’s representative. The approach allows surgeons to anticipate challenges that traditional imaging might not reveal. Therefore, making extremely delicate procedures more precise and potentially safer.

Just prior to Christmas, cardiothoracic surgeons applied this virtual planning technique in a nearly seven-hour operation to repair Hattie’s heart. While the surgery doesn’t “cure” congenital heart disease her family reports significant improvements in her health and quality of life. “Now, Hattie is home and thriving,” her mother told WLKY.

Into the Future

Norton Children’s is among a small number of hospitals nationwide adopting this innovative surgical theater technology for pediatric heart patients. It represents a broader trend toward leveraging sophisticated visualization tools in medicine. Similar to developments such as advanced 3D MRI imaging to guide heart defect treatment at other hospitals around the country.

Funding for the technology at Norton Children’s comes in part by donations through the Norton Children’s Hospital Foundation. Highlighting the ongoing role of community support in pioneering pediatric care.

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