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Novel use of a 3D printed heart model to guide simultaneous percutaneous repair of severe pulmonary regurgitation and right ventricular outflow tract aneurysm

Published online by Cambridge University Press:  10 April 2019

Salim G. M. Jivanji
Affiliation:
Department of Congenital Heart Disease, Evelina London Children’s Hospital, Guy’s and St Thomas NHS Foundation Trust, London, United Kingdom
Shakeel A. Qureshi
Affiliation:
Department of Congenital Heart Disease, Evelina London Children’s Hospital, Guy’s and St Thomas NHS Foundation Trust, London, United Kingdom
Eric Rosenthal*
Affiliation:
Department of Congenital Heart Disease, Evelina London Children’s Hospital, Guy’s and St Thomas NHS Foundation Trust, London, United Kingdom
*
Author for correspondence: Eric Rosenthal, MD, Department of Paediatric Cardiology, Evelina London Children’s Hospital, London, SE17EH, United Kingdom. Tel: 020 7188 7188; E-mail: [email protected]

Abstract

We describe percutaneous repair of severe pulmonary regurgitation and a right ventricular outflow tract pseudoaneurysm in a 19-year-old patient after repair of pulmonary atresia, ventricular septal defect, and major aortopulmonary collaterals. A 3D printed model of his heart was used to simulate percutaneous repair with a closure device in the aneurysm neck and a Venus P-valve in the right ventricular outflow tract. The encouraging findings from the simulation allowed us to plan the complex procedure effectively with a successful outcome and avoidance of surgery.

Type
Brief Report
Copyright
© Cambridge University Press 2019 

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References

Promphan, W, Prachasilchai, P, Siripornpitak, S, Qureshi, SA, Layangool, T. Percutaneous pulmonary valve implantation with the Venus P-valve: clinical experience and early results. Cardiol Young 2016; 26: 698710.CrossRefGoogle ScholarPubMed
Garay, F, Pan, X, Zhang, Y, Wang, C, Springmuller, D. Early experience with the Venus P-valve for percutaneous pulmonary valve implantation in native outflow tract. Netherlands Heart J 2017; 25: 7681.CrossRefGoogle ScholarPubMed
Bonhoeffer, P, Boudjemline, Y, Saliba, Z, et al. Percutaneous replacement of pulmonary valve in a right-ventricle to pulmonary-artery prosthetic conduit with valve dysfunction. Lancet 2000; 356: 14031405.CrossRefGoogle Scholar
Schoonbeek, RC, Takebayashi, S, Aoki, C, et al. Implantation of the medtronic-harmony transcatheter pulmonary valve improves right ventricular size and function in an ovine model of posteroperative chronic pulmonary insufficiency. Circ Cardiovasc Interv 2016; 9: pii.e003920.CrossRefGoogle Scholar
Lurz, P, Taylor, A, Bonhoeffer, P. Percutaneous treatment of a giant right ventricular outflow tract pseudo-aneurysm and severe pulmonary regurgitation. Eur Heart J 2007; 28: 2086.CrossRefGoogle ScholarPubMed

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