Surgery for Chronic Postinfarct Ventricular Pseudoaneurysm Using 3-Dimensional Printing

Kevin Wang MD , Abel Cherian BS , Alex Ryan BS , Yash Rohilla , Chidiebere Peter Echieh FRCS , Michael D. Seckeler MD, MSc , Toshinobu Kazui MD, PhD
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Abstract

The use of 3-dimensional printing allows for preoperative planning in complex cardiac surgery. It provides a digital and physical model of patient-specific anatomy that may aid in decision making. Our case describes a 64-year-old patient with a late presentation of myocardial infarction complicated by the development of chronic postinfarction ventricular septal defect with interventricular pseudoaneurysm. We utilized a 3-dimensional-printed model of the patient’s heart to identify the location of the defect preoperatively. From this case, we believe that 3-dimensional modeling may aid preoperative planning, particularly in complex anatomy. Time, cost, and precision are limitations to the routine clinical application of this technology.
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应用三维打印技术治疗慢性梗死后心室假性动脉瘤
在复杂的心脏手术中,使用三维打印技术可以进行术前规划。它提供了患者特定解剖结构的数字和物理模型,可能有助于决策。我们的病例描述了一位64岁的患者,晚期出现心肌梗死,并发慢性梗死后室间隔缺损并室间假性动脉瘤。我们利用患者心脏的三维打印模型来识别术前缺陷的位置。从这种情况下,我们认为三维建模可以帮助术前计划,特别是在复杂的解剖。时间、成本和精度限制了该技术的常规临床应用。
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