Table 2.
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 |
|
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 |
|
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 |
|
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 |
|
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.