Scan, plan, print, practice, perform: Development and use of a patient-specific 3- dimensional printed model in adult cardiac surgery Joshua L. Hermsen,

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Presentation transcript:

Scan, plan, print, practice, perform: Development and use of a patient-specific 3- dimensional printed model in adult cardiac surgery Joshua L. Hermsen, MD, Thomas M. Burke, PhD, Stephen P. Seslar, MD, PhD, David S. Owens, MD, Beth A. Ripley, MD, PhD, Nahush A. Mokadam, MD, Edward D. Verrier, MD The Journal of Thoracic and Cardiovascular Surgery Volume 153, Issue 1, Pages 132-140 (January 2017) DOI: 10.1016/j.jtcvs.2016.08.007 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Photograph of a 3-dimensional printed model of heart with hypertrophic cardiomyopathy used in this study before any manipulation. The same print is shown in Figure 4 after manipulation. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 132-140DOI: (10.1016/j.jtcvs.2016.08.007) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Photograph of a 3-dimensional print positioned for operative rehearsal in the well of a chest mannequin. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 132-140DOI: (10.1016/j.jtcvs.2016.08.007) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Composite photograph showing the operating surgeon during rehearsal in the simulation laboratory (left) and the operating surgeon's view of myectomy on a 3-dimensional print (right). The Journal of Thoracic and Cardiovascular Surgery 2017 153, 132-140DOI: (10.1016/j.jtcvs.2016.08.007) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Photograph in the operating room of the 3-dimensional print and its myectomy specimens next to the actual myectomy specimen from same patient for comparison. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 132-140DOI: (10.1016/j.jtcvs.2016.08.007) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Assessment tool used to rate the usefulness of information and experience gained from the 3-dimensional (3D) printing process, including operative rehearsal on the 3-dimensional print. Simulator assessment tool for patient 1 is shown. HCM, Hypertrophic cardiomyopathy; RCA, right coronary artery. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 132-140DOI: (10.1016/j.jtcvs.2016.08.007) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 Assessment tool used to rate the usefulness of information and experience gained from the 3-dimensional (3D) printing process, including operative rehearsal on 3-dimensional print. Simulator assessment tool for patient 2 is shown. HCM, Hypertrophic cardiomyopathy; RCA, right coronary artery. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 132-140DOI: (10.1016/j.jtcvs.2016.08.007) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 7 Screen shot of virtual 3-dimensional model produced during segmentation process. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 132-140DOI: (10.1016/j.jtcvs.2016.08.007) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 8 Photograph of a 3-dimensional print showing papillary muscle insertion directly onto the anterior mitral valve leaflet (arrow). The view is from the ventricular side looking out the left ventricular outflow tract. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 132-140DOI: (10.1016/j.jtcvs.2016.08.007) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 9 Intraoperative photograph showing papillary muscle insertion directly onto anterior mitral valve leaflet (arrow). The view is from the aortic side looking into the left ventricle. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 132-140DOI: (10.1016/j.jtcvs.2016.08.007) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Three-dimensional print (after myectomy in sim lab) next to operative myectomy specimen. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 132-140DOI: (10.1016/j.jtcvs.2016.08.007) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Video 1 Video clip shows the surgeon's view during the myectomy performed on the 3-dimensional model for patient 2. Video available at: http://www.jtcvsonline.org/article/S0022-5223(16)30937-0/addons. The Journal of Thoracic and Cardiovascular Surgery 2017 153, 132-140DOI: (10.1016/j.jtcvs.2016.08.007) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions