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3D printed heart models assist in pre-procedural planning of the innominate vein to pulmonary venous atrium redirection (Hraska / Rome procedures)

Published online by Cambridge University Press:  14 April 2025

Ross Foley
Affiliation:
Department of Paediatric Cardiology, Children’s Health Ireland at Crumlin, Dublin, Ireland
Kevin Walsh
Affiliation:
Department of Paediatric Cardiology, Children’s Health Ireland at Crumlin, Dublin, Ireland
Jonathan J. Rome
Affiliation:
Division of Cardiology, Department of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, PA, USA
Jonathan McGuinness
Affiliation:
Department of Cardiothoracic Surgery, Children’s Health Ireland at Crumlin, Dublin, Ireland
Liam Morris
Affiliation:
Department of Mechanical and Industrial Engineering, Galway-Mayo Institute of Technology, MET Gateway, Galway, Ireland
Eoin O’Cearbhaill
Affiliation:
School of Biomedical Engineering, University College Dublin, Dublin, Ireland
Colin J. McMahon*
Affiliation:
Department of Paediatric Cardiology, Children’s Health Ireland at Crumlin, Dublin, Ireland School of Medicine, University College Dublin, Dublin, Ireland
*
Corresponding author: Colin McMahon; Email: [email protected]

Abstract

Innominate vein redirection to the pulmonary venous atrium has been used in single ventricle patients in order to relieve lymphatic complications resulting from systemic venous hypertension. This has been achieved both surgically, known as the Hraska procedure and via transcatheter approach, known as the Rome procedure. Determining the pathway from the innominate vein to the pulmonary venous atrium is challenging with important intra- and extra-cardiac structures close-by. We present two cases; one surgical and one transcatheter approach, where 3D-printed cardiac models were used to assist in the pre-procedural planning of this relatively novel and challenging strategy.

Type
Brief Report
Copyright
© The Author(s), 2025. Published by Cambridge University Press

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References

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