Hostname: page-component-586b7cd67f-dlnhk Total loading time: 0 Render date: 2024-11-22T19:34:43.440Z Has data issue: false hasContentIssue false
  • English
  • Français

Utility of three-dimensional printed heart models for education on complex congenital heart diseases

Published online by Cambridge University Press:  09 November 2020

Cheul Lee  and
Jae Young Lee
Cheul Lee*
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
Jae Young Lee
Affiliation:
Department of Pediatrics, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
*
Author for correspondence: Cheul Lee, MD, Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul06591, Republic of Korea. Tel: +82 2 2258 6131; Fax: +82 2 594 8644; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

The objective of this study was to evaluate the feasibility and effects of education on complex congenital heart diseases using patient-specific three-dimensional printed heart models.

Methods:

Three-dimensional printed heart models were created using computed tomography data obtained from 11 patients with complex congenital heart disease. Fourteen kinds of heart models, encompassing nine kinds of complex congenital heart disease were printed. Using these models, a series of educational hands-on seminars, led by an experienced paediatric cardiac surgeon and a paediatric cardiologist, were conducted for medical personnel who were involved in the care of congenital heart disease patients. Contents of the seminars included anatomy, three-dimensional structure, pathophysiology, and surgery for each diagnosis. Likert-type (10-point scale) questionnaires were used before and after each seminar to evaluate the effects of education.

Results:

Between November 2019 and June 2020, a total of 16 sessions of hands-on seminar were conducted. The total number of questionnaire responses was 75. Overall, participants reported subjective improvement in understanding anatomy (4.8 ± 2.1 versus 8.4 ± 1.1, p < 0.001), three-dimensional structure (4.6 ± 2.2 versus 8.9 ± 1.0, p < 0.001), pathophysiology (4.8 ± 2.2 versus 8.5 ± 1.0, p < 0.001), and surgery (4.9 ± 2.3 versus 8.8 ± 0.9, p < 0.001) of the congenital heart disease investigated.

Conclusions:

The utilisation of three-dimensional printed heart models for education on complex congenital heart disease was feasible and improved medical personnel’s understanding of complex congenital heart disease. This education tool may be an effective alternative to conventional education tools for complex congenital heart disease.

Keywords

Congenital heart diseaseeducationthree-dimensional printing
Type
Original Article
Information
Cardiology in the Young , Volume 30 , Issue 11 , November 2020 , pp. 1637 - 1642
Check for updates
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alsaied, T, McCrindle, BW. Prevalence of congenital cardiac disease. In: Wernovsky, G (ed.) Anderson’s Pediatric Cardiology. Elsevier, Philadelphia, 2020, 178–179.Google Scholar
Costello, JP, Olivieri, LJ, Krieger, A, et al. Utilizing three-dimensional printing technology to assess the feasibility of high-fidelity synthetic ventricular septal defect models for simulation in medical education. World J Pediatr Congenit Heart Surg 2014; 5: 421–426.10.1177/2150135114528721CrossRefGoogle ScholarPubMed
Costello, JP, Olivieri, LJ, Su, L, et al. Incorporating three-dimensional printing into a simulation-based congenital heart disease and critical care training curriculum for resident physicians. Congenit Heart Dis 2015; 10: 185–190.10.1111/chd.12238CrossRefGoogle ScholarPubMed
Loke, YH, Harahsheh, AS, Krieger, A, Olivieri, LJ. Usage of 3D models of tetralogy of Fallot for medical education: impact on learning congenital heart disease. BMC Med Educ 2017; 17: 54.10.1186/s12909-017-0889-0CrossRefGoogle ScholarPubMed
Jones, TW, Seckeler, MD. Use of 3D models of vascular rings and slings to improve resident education. Congenit Heart Dis 2017; 12: 578–582.10.1111/chd.12486CrossRefGoogle ScholarPubMed
Su, W, Xiao, Y, He, S, Huang, P, Deng, X. Three-dimensional printing models in congenital heart disease education for medical students: a controlled comparative study. BMC Med Educ 2018; 18: 178.CrossRefGoogle ScholarPubMed
White, SC, Sedler, J, Jones, TW, Seckeler, M. Utility of three-dimensional models in resident education on simple and complex intracardiac congenital heart defects. Congenit Heart Dis 2018; 13: 1045–1049.10.1111/chd.12673CrossRefGoogle ScholarPubMed
Smerling, J, Marboe, CC, Lefkowitch, JH, et al. Utility of 3D printed cardiac models for medical student education in congenital heart disease: across a spectrum of disease severity. Pediatr Cardiol 2019; 40: 1258–1265.10.1007/s00246-019-02146-8CrossRefGoogle ScholarPubMed
Yoo, SJ, Thabit, O, Kim, EK, et al. 3D printing in medicine of congenital heart diseases. 3D Print Med 2016; 2: 3.Google Scholar
Valverde, I, Gomez-Ciriza, G, Hussain, T, et al. Three-dimensional printed models for surgical planning of complex congenital heart defects: an international multicentre study. Eur J Cardiothorac Surg 2017; 52: 1139–1148.10.1093/ejcts/ezx208CrossRefGoogle Scholar
Yim, D, Dragulescu, A, Ide, H, et al. Essential modifiers of double outlet right ventricle: revisit with endocardial surface images and 3-dimensional print models. Circ Cardiovasc Imaging 2018; 11: e006891.CrossRefGoogle ScholarPubMed
Yoo, SJ, van Arsdell, GS. 3D printing in surgical management of double outlet right ventricle. Front Pediatr 2018; 5: 289.CrossRefGoogle ScholarPubMed
Hoashi, T, Ichikawa, H, Nakata, T, et al. Utility of a super-flexible three-dimensional printed heart model in congenital heart surgery. Interact Cardiovasc Thorac Surg 2018; 27: 749–755.CrossRefGoogle ScholarPubMed
Vettukattil, JJ, Mohammad Nijres, B, Gosnell, JM, Samuel, BP, Haw, MP. Three-dimensional printing for surgical planning in complex congenital heart disease. J Card Surg 2019; 34: 1363–1369.10.1111/jocs.14180CrossRefGoogle ScholarPubMed
Yoo, SJ, Spray, T, Austin, EH, Yun, TJ, van Arsdell, GS. Hands-on surgical training of congenital heart surgery using 3-dimensional print models. J Thorac Cardiovasc Surg 2017; 153: 1530–1540.CrossRefGoogle ScholarPubMed
Hussein, N, Honjo, O, Haller, C, et al. Hands-on surgical simulation in congenital heart surgery: literature review and future perspective. Semin Thorac Cardiovasc Surg 2020; 32: 98–105.10.1053/j.semtcvs.2019.06.003CrossRefGoogle ScholarPubMed
Hussein, N, Lim, A, Honjo, O, et al. Development and validation of a procedure-specific assessment tool for hands-on surgical training in congenital heart surgery. J Thorac Cardiovasc Surg 2020; 160: 229–240.CrossRefGoogle ScholarPubMed
Van Arsdell, GS, Hussein, N, Yoo, SJ. Three-dimensional printing in congenital cardiac surgery-now and the future. J Thorac Cardiovasc Surg 2020; 160: 515–519.10.1016/j.jtcvs.2019.12.131CrossRefGoogle ScholarPubMed
Olivieri, LJ, Su, L, Hynes, CF, et al. “Just-in-time” simulation training using 3-D printed cardiac models after congenital cardiac surgery. World J Pediatr Congenit Heart Surg 2016; 7: 164–168.10.1177/2150135115623961CrossRefGoogle ScholarPubMed
Biglino, G, Capelli, C, Wray, J, et al. 3D-manufactured patient-specific models of congenital heart defects for communication in clinical practice: feasibility and acceptability. BMJ Open 2015; 5: e007165.10.1136/bmjopen-2014-007165CrossRefGoogle ScholarPubMed
Bramlet, M, Olivieri, L, Farooqi, K, Ripley, B, Coakley, M. Impact of three-dimensional printing on the study and treatment of congenital heart disease. Circ Res 2017; 120: 904–907.10.1161/CIRCRESAHA.116.310546CrossRefGoogle Scholar