Alifu Ailixiati, Wang Haifan, Su Yuntian, Chen Renwei
Department of Cardiothoracic Surgery, Hainan Women and Children's Medical Center, Haikou, China.
Front Cardiovasc Med. 2023 May 5;10:1172104. doi: 10.3389/fcvm.2023.1172104. eCollection 2023.
In this case report, we utilized a three-dimensional printing model to replicate the complex anatomy of a criss-cross heart with double outlet right ventricle-an extremely rare congenital cardiac abnormality. This approach facilitated our understanding of the patient's unique condition and enabled us to plan the surgical procedure with greater precision.
Our department received a 13-year-old female patient who presented with a pronounced heart murmur and a decrease in exercise capacity. Subsequent two-dimensional imaging revealed the presence of a criss-cross heart with double outlet right ventricle-an intricate and uncommon cardiac malformation that poses challenges for accurate visualization through conventional two-dimensional modalities. To address this challenge, we constructed and printed a three-dimensional model using computed tomography data, which enabled us to visualize and understand the complex intracardiac structures and plan surgical interventions with greater precision. Using this approach, we successfully performed a right ventricular double outlet repair, and the patient made a full recovery following the procedure.
The criss-cross heart with double outlet right ventricle constitutes a complex and uncommon cardiac anomaly that poses considerable challenges in terms of diagnosis and surgical intervention. Employing three-dimensional modeling and printing represents a promising approach, given its potential to enhance the precision and comprehensiveness of the anatomical evaluation of the heart. As a result, this method holds significant promise in facilitating accurate diagnosis, meticulous surgical planning, and ultimately improving clinical outcomes for patients affected by this condition.
在本病例报告中，我们利用三维打印模型来复制右心室双出口交叉心脏的复杂解剖结构——这是一种极为罕见的先天性心脏异常。这种方法有助于我们理解患者的独特病情，并使我们能够更精确地规划手术方案。
我们科室收治了一名13岁女性患者，她有明显的心杂音且运动能力下降。随后的二维成像显示存在右心室双出口交叉心脏——这是一种复杂且罕见的心脏畸形，通过传统二维检查方式难以准确可视化。为应对这一挑战，我们利用计算机断层扫描数据构建并打印了一个三维模型，这使我们能够可视化并理解复杂的心内结构，并更精确地规划手术干预措施。采用这种方法，我们成功实施了右心室双出口修复手术，术后患者完全康复。
右心室双出口交叉心脏是一种复杂且罕见的心脏异常，在诊断和手术干预方面构成了相当大的挑战。采用三维建模和打印是一种很有前景的方法，因为它有可能提高心脏解剖评估的精确性和全面性。因此，这种方法在促进准确诊断、精心的手术规划以及最终改善受此疾病影响患者的临床结局方面具有重大前景。
