Application of three-dimensional printing technique in surgical treatment of congenital heart disease_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

GAO Qiang ¹ ,  ZHUANG Jian ¹ , CEN Jianzheng ¹ , HUANG Meiping ² , ZHOU Yi ³ , CHEN Jimei ¹

1. Department of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, P.R.China;
2. Department of Catheterization Lab, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, 510080, P.R.China;
3. Zhuhai Seine Technology Co.,Lt, Zhuhai, 519060, Guangdong, P.R.China;

Corresponding author：

ZHUANG Jian, Email: zhuangjian5413@tom.com

Keywords：

3D printing; congenital heart diseases; cardiac surgery

DOI：

10.7507/1007-4848.201707031

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the application of three-dimensional printing technique in surgical treatments on complex congenital heart diseases. Methods Two patients were enrolled with complex congenital heart diseases. The computerized tomography data were used to build the 3D architecture of cardiac anomalies. The White-Jet-Process technique was used to print the models with 1∶1 ratio in size. The models were used to make the treatment strategy making, young surgeon training and operation simulation. Results The full color and hollowed-out cardiac models with 1∶1 ration in size were printed successfully. They were transected at the middle point of vertical axis, which was conveniently to explore the intracardiac anomalies. However, for patient 1, the model lost the atrial septal defect. Taking the two models as references, operation group held preoperative consultation, operation simulation, and finally, the operation plans were determined for the two patients. Both the two operation were carried out smoothly. Conclusion Although the limitations of 3D printing still exist in the application for congenital heart diseases, making the preoperative plan and operation simulation via 3D cardiac model could enhance the understanding of following operation and procedure details, which could improve the tacit cooperation among operation group members. Furthermore, operation results also could be improved potentially. Therefore, the cardiac 3D printing should be popularized in clinic in the future.

Citation： GAO Qiang, ZHUANG Jian, CEN Jianzheng, HUANG Meiping, ZHOU Yi, CHEN Jimei. Application of three-dimensional printing technique in surgical treatment of congenital heart disease. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(8): 654-658. doi: 10.7507/1007-4848.201707031 Copy

1.	Sodian R, Weber S, Markert M, et al. Stereolithographic models for surgical planning in congenital heart surgery. Ann Thorac Surg, 2007, 83(5): 1854-1857.
2.	Shiraishi I, Yamagishi M, Hamaoka K, et al. Simulative operation on congenital heart disease using rubber-like urethane stereolithographic biomodels based on 3D datasets of multislice computed tomography. Eur J Cardiothorac Surg, 2010, 37(2): 302-306.
3.	Olivieri L, Krieger A, Chen MY, et al. 3D heart model guides complex stent angioplasty of pulmonary venous baffle obstruction in a Mustard repair of D-TGA. Int J Cardiol, 2014, 172(2): e297-e298.
4.	Dankowski R, Baszko A, Sutherland M, et al. 3D heart model printing for preparation of percutaneous structural interventions: description of the technology and case report. Kardiol Pol, 2014, 72(6): 546-551.
5.	Valverde I, Gomez G, Coserria JF, et al. 3D printed models for planning endovascular stenting in transverse aortic arch hypoplasia. Catheter Cardiovasc Interv, 2015, 85(6): 1006-1012.
6.	Olivieri LJ, Krieger A, Loke YH, et al. Three-dimensional printing of intracardiac defects from three-dimensional echocardiographic images: feasibility and relative accuracy. J Am Soc Echocardiogr, 2015, 28(4): 392-397.
7.	Fujita B, Kütting M, Scholtz S, et al. Development of an algorithm to plan and simulate a new interventional procedure. Interact Cardiovasc Thorac Surg, 2015, 21(1): 87-95.
8.	Bauch T, Vijayaraman P, Dandamudi G, et al. Three-dimensional printing for in vivo visualization of his bundle pacing leads. Am J Cardiol, 2015, 116(3): 485-486.
9.	Otton JM, Spina R, Sulas R, et al. Left atrial appendage closure guided by personalized 3D-printed cardiac reconstruction. JACC Cardiovasc Interv, 2015, 8(7): 1004-1006.
10.	Son KH, Kim KW, Ahn CB, et al. Surgical planning by 3D printing for primary cardiac schwannoma resection. Yonsei Med J, 2015, 56(6): 1735-1737.
11.	Kurup HK, Samuel BP, Vettukattil JJ. Hybrid 3D printing: a game-changer in personalized cardiac medicine? Expert Rev Cardiovasc Ther, 2015, 13(12): 1281-1284.
12.	Mirochnik N, Hagège A, Zacouto F, et al. Physical reproduction of cardiac sutures. A new field of investigation in cardiology. Arch Mal Coeur Vaiss, 2000, 93(10): 1203-1209.
13.	Noecker AM, Chen JF, Zhou Q, et al. Development of patient-specific three-dimensional pediatric cardiac models. ASAIO J, 2006, 52(3): 349-353.
14.	Jacobs S, Grunert R, Mohr FW, et al. 3D-imaging of cardiac structures using 3D heart models for planning in heart surgery: a preliminary study. Interact Cardiovasc Thorac Surg, 2008, 7(1): 6-9.
15.	Schmauss D, Haeberle S, Hagl C, et al. Three-dimensional printing in cardiac surgery and interventional cardiology: a single-centre experience. Eur J Cardiothorac Surg, 2015, 47(6): 1044-1052.
16.	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(3): 421-426.
17.	Holt BA, Hearn G, Hawes R, et al. Development and evaluation of a 3D printed endoscopic ampullectomy training model (with video). Gastrointest Endosc, 2015, 81(6): 1470-1475.
18.	Lim KH, Loo ZY, Goldie SJ, et al. Use of 3D printed models in medical education: A randomized control trial comparing 3D prints versus cadaveric materials for learning external cardiac anatomy. Anat Sci Educ, 2016, 9(3): 213-221.
19.	Mathur M, Patil P, Bove A. The role of 3d printing in structural heart disease: All that glitters is not gold. JACC Cardiovasc Imaging, 2015, 8(8):987-988.

1. Sodian R, Weber S, Markert M, et al. Stereolithographic models for surgical planning in congenital heart surgery. Ann Thorac Surg, 2007, 83(5): 1854-1857.
2. Shiraishi I, Yamagishi M, Hamaoka K, et al. Simulative operation on congenital heart disease using rubber-like urethane stereolithographic biomodels based on 3D datasets of multislice computed tomography. Eur J Cardiothorac Surg, 2010, 37(2): 302-306.
3. Olivieri L, Krieger A, Chen MY, et al. 3D heart model guides complex stent angioplasty of pulmonary venous baffle obstruction in a Mustard repair of D-TGA. Int J Cardiol, 2014, 172(2): e297-e298.
4. Dankowski R, Baszko A, Sutherland M, et al. 3D heart model printing for preparation of percutaneous structural interventions: description of the technology and case report. Kardiol Pol, 2014, 72(6): 546-551.
5. Valverde I, Gomez G, Coserria JF, et al. 3D printed models for planning endovascular stenting in transverse aortic arch hypoplasia. Catheter Cardiovasc Interv, 2015, 85(6): 1006-1012.
6. Olivieri LJ, Krieger A, Loke YH, et al. Three-dimensional printing of intracardiac defects from three-dimensional echocardiographic images: feasibility and relative accuracy. J Am Soc Echocardiogr, 2015, 28(4): 392-397.
7. Fujita B, Kütting M, Scholtz S, et al. Development of an algorithm to plan and simulate a new interventional procedure. Interact Cardiovasc Thorac Surg, 2015, 21(1): 87-95.
8. Bauch T, Vijayaraman P, Dandamudi G, et al. Three-dimensional printing for in vivo visualization of his bundle pacing leads. Am J Cardiol, 2015, 116(3): 485-486.
9. Otton JM, Spina R, Sulas R, et al. Left atrial appendage closure guided by personalized 3D-printed cardiac reconstruction. JACC Cardiovasc Interv, 2015, 8(7): 1004-1006.
10. Son KH, Kim KW, Ahn CB, et al. Surgical planning by 3D printing for primary cardiac schwannoma resection. Yonsei Med J, 2015, 56(6): 1735-1737.
11. Kurup HK, Samuel BP, Vettukattil JJ. Hybrid 3D printing: a game-changer in personalized cardiac medicine? Expert Rev Cardiovasc Ther, 2015, 13(12): 1281-1284.
12. Mirochnik N, Hagège A, Zacouto F, et al. Physical reproduction of cardiac sutures. A new field of investigation in cardiology. Arch Mal Coeur Vaiss, 2000, 93(10): 1203-1209.
13. Noecker AM, Chen JF, Zhou Q, et al. Development of patient-specific three-dimensional pediatric cardiac models. ASAIO J, 2006, 52(3): 349-353.
14. Jacobs S, Grunert R, Mohr FW, et al. 3D-imaging of cardiac structures using 3D heart models for planning in heart surgery: a preliminary study. Interact Cardiovasc Thorac Surg, 2008, 7(1): 6-9.
15. Schmauss D, Haeberle S, Hagl C, et al. Three-dimensional printing in cardiac surgery and interventional cardiology: a single-centre experience. Eur J Cardiothorac Surg, 2015, 47(6): 1044-1052.
16. 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(3): 421-426.
17. Holt BA, Hearn G, Hawes R, et al. Development and evaluation of a 3D printed endoscopic ampullectomy training model (with video). Gastrointest Endosc, 2015, 81(6): 1470-1475.
18. Lim KH, Loo ZY, Goldie SJ, et al. Use of 3D printed models in medical education: A randomized control trial comparing 3D prints versus cadaveric materials for learning external cardiac anatomy. Anat Sci Educ, 2016, 9(3): 213-221.
19. Mathur M, Patil P, Bove A. The role of 3d printing in structural heart disease: All that glitters is not gold. JACC Cardiovasc Imaging, 2015, 8(8):987-988.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application of three-dimensional printing technique in surgical treatment of congenital heart disease

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