Use of 3D Models in the Surgical Decision-Making Process in a Case of Double-Outlet Right Ventricle With Multiple Ventricular Septal Defects
3D printing has recently become an affordable means of producing bespoke models and parts. This has now been extended to models produced from medical imaging, such as computed tomography (CT). Here we report the production of a selection of 3D models to compliment the available imaging data for a 12...
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doaj-7a029940cf02414e8f08b289f7b7d1702020-11-25T00:46:15ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602019-08-01710.3389/fped.2019.00330461584Use of 3D Models in the Surgical Decision-Making Process in a Case of Double-Outlet Right Ventricle With Multiple Ventricular Septal DefectsAndrew I. U. Shearn0Michael Yeong1Michael Richard2Maria Victoria Ordoñez3Maria Victoria Ordoñez4Henry Pinchbeck5Elena G. Milano6Elena G. Milano7Alison Hayes8Massimo Caputo9Massimo Caputo10Giovanni Biglino11Giovanni Biglino12Giovanni Biglino13Bristol Medical School, University of Bristol, Bristol, United KingdomUniversity Hospitals Bristol, NHS Foundation Trust, Bristol, United Kingdom3D LifePrints UK Ltd, Liverpool, United KingdomBristol Medical School, University of Bristol, Bristol, United KingdomUniversity Hospitals Bristol, NHS Foundation Trust, Bristol, United Kingdom3D LifePrints UK Ltd, Liverpool, United KingdomUCL Institute of Cardiovascular Science, University College London, London, United KingdomGreat Ormond Street Hospital for Children, NHS Foundation Trust, London, United KingdomUniversity Hospitals Bristol, NHS Foundation Trust, Bristol, United KingdomBristol Medical School, University of Bristol, Bristol, United KingdomUniversity Hospitals Bristol, NHS Foundation Trust, Bristol, United KingdomBristol Medical School, University of Bristol, Bristol, United KingdomGreat Ormond Street Hospital for Children, NHS Foundation Trust, London, United KingdomNational Heart and Lung Institute, Imperial College London, London, United Kingdom3D printing has recently become an affordable means of producing bespoke models and parts. This has now been extended to models produced from medical imaging, such as computed tomography (CT). Here we report the production of a selection of 3D models to compliment the available imaging data for a 12-month-old child with double-outlet right ventricle and two ventricular septal defects. The models were produced to assist with case management and surgical planning. We used both stereolithography and polyjet techniques to produce white rigid and flexible color models, respectively. The models were discussed both at the joint multidisciplinary meeting and between surgeon and cardiologist. From the blood pool model the clinicians were able to determine that the position of the coronary arteries meant an arterial switch operation was unlikely to be feasible. The soft myocardium model allowed the clinicians to assess the VSD anatomy and relationship with the aorta. The models, therefore, were of benefit in the development of the surgical plan. It was felt that the clinical situation was stable enough that an immediate intervention was not required, but the timing of any intervention would be dictated by decreasing oxygen saturation. Subsequently, the oxygen saturation of the patient did decrease and the decision was made to intervene. A further model was created to demonstrate the tricuspid apparatus. An arterial switch was ultimately performed without the LeCompte maneuver, the muscular VSD enlarged and baffled into the neo aortic root and the perimembranous VSD closed. At 1 month follow up SO2 was 100%, there was no breathlessness and no echocardiogram changes.https://www.frontiersin.org/article/10.3389/fped.2019.00330/fulldouble outlet right ventricle (DORV)ventricular septal defectsurgical planning3D printingrapid prototypingcongenital heart defects |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Andrew I. U. Shearn Michael Yeong Michael Richard Maria Victoria Ordoñez Maria Victoria Ordoñez Henry Pinchbeck Elena G. Milano Elena G. Milano Alison Hayes Massimo Caputo Massimo Caputo Giovanni Biglino Giovanni Biglino Giovanni Biglino |
spellingShingle |
Andrew I. U. Shearn Michael Yeong Michael Richard Maria Victoria Ordoñez Maria Victoria Ordoñez Henry Pinchbeck Elena G. Milano Elena G. Milano Alison Hayes Massimo Caputo Massimo Caputo Giovanni Biglino Giovanni Biglino Giovanni Biglino Use of 3D Models in the Surgical Decision-Making Process in a Case of Double-Outlet Right Ventricle With Multiple Ventricular Septal Defects Frontiers in Pediatrics double outlet right ventricle (DORV) ventricular septal defect surgical planning 3D printing rapid prototyping congenital heart defects |
author_facet |
Andrew I. U. Shearn Michael Yeong Michael Richard Maria Victoria Ordoñez Maria Victoria Ordoñez Henry Pinchbeck Elena G. Milano Elena G. Milano Alison Hayes Massimo Caputo Massimo Caputo Giovanni Biglino Giovanni Biglino Giovanni Biglino |
author_sort |
Andrew I. U. Shearn |
title |
Use of 3D Models in the Surgical Decision-Making Process in a Case of Double-Outlet Right Ventricle With Multiple Ventricular Septal Defects |
title_short |
Use of 3D Models in the Surgical Decision-Making Process in a Case of Double-Outlet Right Ventricle With Multiple Ventricular Septal Defects |
title_full |
Use of 3D Models in the Surgical Decision-Making Process in a Case of Double-Outlet Right Ventricle With Multiple Ventricular Septal Defects |
title_fullStr |
Use of 3D Models in the Surgical Decision-Making Process in a Case of Double-Outlet Right Ventricle With Multiple Ventricular Septal Defects |
title_full_unstemmed |
Use of 3D Models in the Surgical Decision-Making Process in a Case of Double-Outlet Right Ventricle With Multiple Ventricular Septal Defects |
title_sort |
use of 3d models in the surgical decision-making process in a case of double-outlet right ventricle with multiple ventricular septal defects |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Pediatrics |
issn |
2296-2360 |
publishDate |
2019-08-01 |
description |
3D printing has recently become an affordable means of producing bespoke models and parts. This has now been extended to models produced from medical imaging, such as computed tomography (CT). Here we report the production of a selection of 3D models to compliment the available imaging data for a 12-month-old child with double-outlet right ventricle and two ventricular septal defects. The models were produced to assist with case management and surgical planning. We used both stereolithography and polyjet techniques to produce white rigid and flexible color models, respectively. The models were discussed both at the joint multidisciplinary meeting and between surgeon and cardiologist. From the blood pool model the clinicians were able to determine that the position of the coronary arteries meant an arterial switch operation was unlikely to be feasible. The soft myocardium model allowed the clinicians to assess the VSD anatomy and relationship with the aorta. The models, therefore, were of benefit in the development of the surgical plan. It was felt that the clinical situation was stable enough that an immediate intervention was not required, but the timing of any intervention would be dictated by decreasing oxygen saturation. Subsequently, the oxygen saturation of the patient did decrease and the decision was made to intervene. A further model was created to demonstrate the tricuspid apparatus. An arterial switch was ultimately performed without the LeCompte maneuver, the muscular VSD enlarged and baffled into the neo aortic root and the perimembranous VSD closed. At 1 month follow up SO2 was 100%, there was no breathlessness and no echocardiogram changes. |
topic |
double outlet right ventricle (DORV) ventricular septal defect surgical planning 3D printing rapid prototyping congenital heart defects |
url |
https://www.frontiersin.org/article/10.3389/fped.2019.00330/full |
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