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. 2021 Nov 16;11(11):1703. doi: 10.3390/biom11111703

Table 2.

Characteristics of congenital heart patients undergoing surgery using 3D-printed models.

No Age (Month) Diagnoses; Indication for a 3D-Printed Model (Bold) Previous Surgery 3D-Printed Models New Diagnosis Model Assistance in Operation Performed
Blood Volume Hollow
1 6.5 HLHS; aortic arch obstruction Norwood-1 Yes Yes Cannulation for EC circulation: method and location Aortic arch redo; univentricular staging: BDG
2 7 HLHS; aortic arch obstruction Norwood-1 Yes No Clarification of the geometry of obstruction Aortic arch redo; univentricular staging: BDG
3 60 Tricuspid atresia, malposed great arteries, left PA hypoplasia; subaortic obstruction Right MBTS Yes Yes Origin of left mainstem coronary artery from the ascending aorta Site of aortic opening; clarifying the location of the resection Subaortic resection;
PA plasty; univentricular staging: BDG
4 96 Tricuspid atresia, malposed great arteries; persistent pulmonary hypertension; distal aortic arch obstruction
  1. Atrial septectomy, PAB

  2. DKS, BDG

  3. Take-down BDG to central MBTS

Yes No Kinking of the distal transverse aortic arch (v aortic coarctation) Surgical approach (sternotomy vs. thoracotomy), cannulation site and arch repair Distal transverse aortic arch repair; univentricular palliation: upsize of the central MBTS
5 9 Tetralogy of Fallot, hypoplastic pulmonary annulus; uncertain coronary anatomy Left-sided MBTS Only virtual 3D model created Single left coronary artery: RCA from LAD Need for RV-PA conduit Biventricular complete repair with RV-PA conduit;
PA-plasty
6 16 Tetralogy of Fallot with absent pulmonary valve syndrome; obstruction of the left mainstem coronary artery Fallot-repair; implantation of biological pulmonary prosthesis Only virtual 3D model created Cause and location of left coronary artery obstruction Cause and location of left coronary artery obstruction Biventricular, Lecompte maneuver: placement of the dilated right PA in front of the aorta
7 19 Pulmonary atresia, VSD, MAPCAs; complex spatial relationship of MAPCAs Central MBTS Yes No Clarification of spatial relationship of MAPCAs Surgical strategy of unifocalization Biventricular staging: unifocalization, RV-PA conduit
8 15 Mesocardia, bilateral SVCs, common atrium and iAVD; cor triatriatum sinistrum Atrial baffle patch; iAVD repair Only virtual 3D model created Anatomical landmarks for the left atrial resection Biventricular repair: cor triatriatum repair
9 8 Dextrocardia, visceral heterotaxy, DORV/TGA; left pulmonary branch hypoplasia
  1. Left-sided MBTS

  2. PDA stent

Yes Yes Left atrial appendage crossing the pulmonary trunk Geometry of intracardiac pathway and pulmonary trunk augmentation Biventricular repair: REV operation, transannular patch with monocusp; extensive PA plasty
10 13 Dextrocardia, visceral heterotaxy, right atrial isomerism, left IVC, right SVC, supracardiac TAPVD, common atrium, cAVD, DORV/TGA, pulmonary atresia; clarification of complex segmental anatomy
  1. Left-sided MBTS

  2. TAPVD-repair, BDG

  3. Left PA stenting

Yes Yes Surgical strategy (emulation); intracardiac pathways: size and shape of patches Biventricular repair: TAPVD unroofing to left atrium, atrial separation patch, cAVD repair-REV, BDG takedown, RV-PA conduit
11 36 Dextrocardia, venous anomalies, common atrium; residual ASD Atrial baffle implantation (Mustard) No Yes Surgical approach (from the left side); size/shape of the atrial patch Biventricular repair: complete atrial baffling
12 11 Dextrocardia, visceral heterotaxy, venous anomalies, common atrium, cAVD; uncertain segmental anatomy None No Yes Muscular VSD Size/shape of the atrial patch Biventricular repair: atrial baffling (Mustard), cAVD correction
13 8 Dextrocardia, visceral heterotaxy, venous anomalies, common atrium, iAVD, pulmonary stenosis, vascular ring; uncertain segmental anatomy None Yes Yes Muscular VSD Size/shape of the atrial patch Biventricular repair: atrial baffling (Mustard), iAVD repair, pulmonary valvotomy,
division of vascular ring
14 36 Dextrocardia, visceral heterotaxy, bilateral SVCs, cTGA; uncertain intraatrial anatomy Bilateral BDG Yes Yes Geometry of intraatrial conduit Univentricular staging: TCPC: intracardiac conduit,
PA-plasty
15 82 Mesocardia, common atrium, criss-cross heart (supero-inferior ventricles), TGA, restrictive VSD; extent of the left ventricle thrombus and suitability for biventricular circulation
  1. Central MBTS

  2. BDG

Yes Yes Inlet VSD Left ventricle thrombus conditions, intracardiac conduit geometry; possibility of biventricular circulation Univentricular staging: TCPC intracardiac conduit, LV thrombus removal, VSD enlargement

Abbreviations: ASD: atrial septal defect, AV: atrioventricular, BDG: bidirectional (Glenn) superior cavopulmonary anastomosis, cAVD: complete atrioventricular defect, cTGA: congenitally corrected transposition of the great arteries, DKS: Damus–Kaye–Stansel anastomosis, DORV: double outlet right ventricle, EC: extracorporeal circulation, HLHS: hypoplastic left-heart syndrome, iAVD: incomplete atrioventricular defect, IVC: inferior vena cava, MBTS: modified Blalock-Taussig shunt, PA: pulmonary artery, PAB: pulmonary artery banding, PDA: patent arterial duct, REV: “réparation d’étage ventriculaire”, crossing of the outflow pathways at ventricular level, RV: right ventricle, SVC: superior vena cava, TAPVD: total anomalous pulmonary venous drainage, TCPC: complete cavopulmonary connection, TGA: transposition of the great arteries, VSD: ventricular septal defect.