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Virtual dissection and endocast three-dimensional reconstructions: maximizing computed tomographic data for procedural planning of an obstructed pulmonary venous baffle

Part of: Advanced Imaging

Published online by Cambridge University Press:  26 June 2019

Kristin Schneider ,
Stephanie Ghaleb ,
David L. S. Morales  and
Justin T. Tretter Open the ORCID record for Justin T. Tretter [Opens in a new window]
Kristin Schneider
Affiliation:
Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
Stephanie Ghaleb
Affiliation:
Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
David L. S. Morales
Affiliation:
Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
Justin T. Tretter*
Affiliation:
Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA
*
Author for correspondence: Justin T. Tretter, MD, Department of Pediatric Cardiology, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Ave, Cincinnati OH 45229, USA. Tel: 513-803-4538; Fax: 513-636-3952; E-mail: justin.tretter@cchmc.org
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Abstract

We present a case of pulmonary venous baffle obstruction in a child with a history of congenitally corrected transposition status post double switch repair. We highlight two forms of volume rendering three-dimensional reconstructions from computed tomographic data which allowed for detailed pre-surgical planning. These reconstructions emphasise the concept of maximizing previously obtained two-dimensional data in a time-efficient and cost-effective manner. The benefits of these reconstructions are reviewed, highlighting the relatively novel virtual dissection reconstruction technique that appeared identical to what the surgeon encountered in the operating theatre. This technique allowed the surgeon to quickly advance a preconceived detailed surgical repair.

Keywords

Congenitally corrected transposition of the great arteriesCHDcomputed tomographythree-dimensional reconstruction
Type
Brief Report
Information
Cardiology in the Young , Volume 29 , Issue 8 , August 2019 , pp. 1104 - 1106
Copyright
© Cambridge University Press 2019 

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References

Mori, S, Spicer, DE, Anderson, RH. Revisiting the anatomy of the living heart. Circ J 2016; 80: 24–33.CrossRefGoogle ScholarPubMed
Yoo, SJ, Thabit, O, Kim, EK, et al. 3D printing in medicine of congenital heart diseases. 3D Print Med 2015; 2: 3.CrossRefGoogle ScholarPubMed
Mori, S, Tretter, JT, Spicer, DE, Bolender, DL, Anderson, RH. What is the real cardiac anatomy?. Clin Anat 2019; 32: 288–309.CrossRefGoogle ScholarPubMed
Bhatla, P, Tretter, JT, Ludomirsky, A, et al. Utility and scope of rapid prototyping in patients with complex muscular ventricular septal defects or double-outlet right ventricle: does it alter management decisions?. Pediatr Cardiol 2017; 38: 103–114.CrossRefGoogle ScholarPubMed
Bhatla, P, Tretter, JT, Chikkabyrappa, S, Chakravarti, S, Mosca, RS. Surgical planning for a complex double-outlet right ventricle using 3D printing. Echocardiography 2017; 34: 802–804.CrossRefGoogle ScholarPubMed
Anderson, RH, Bolender, D, Mori, S, Tretter, JT. Virtual reality perhaps, but is this real cardiac anatomy?. Clin Anat 2018; 32: 468.CrossRefGoogle ScholarPubMed
Han, BK, Rigsby, CK, Leipsic, J, et al. Computed tomography imaging in patients with congenital heart disease, part 2: technical recommendations. An expert consensus document of the Society of Cardiovascular Computed Tomography (SCCT): endorsed by the Society of Pediatric Radiology (SPR) and the North American Society of Cardiac Imaging (NASCI). J Cardiovasc Comput Tomogr 2015; 9: 493–513.CrossRefGoogle Scholar
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