Re is a
Po uguesa
de
Ca diologia
42
(2023)
675---676
www. e po ca diol.o g
Re is a
Po uguesa
de
Ca diologia
Po uguese
Jou nal
o
Ca diology
IMAGE
IN
CARDIOLOGY
The
hea
in
ou
hands:
Pa hway
o
a
h ee-dimensional
p oblem
solu ion
O
co ac¸ão
em
nossas
mãos
---
a
esoluc¸ão
de
um
p oblema
a a és
da
imp essão
3D
Tiago
Rod igues∗,
João
Sil a
Ma ques,
Faus o
J.
Pin o
Ca diology
Depa men ,
San a
Ma ia
Uni e si y
Hospi al,
CHULN,
CAML,
CCUL,
Facul y
o
Medicine,
Uni e si y
o
Lisbon,
Lisbon,
Po ugal
Recei ed
22
Feb ua y
2022;
accep ed
22
Ma ch
2022
A ailable
online
23
May
2023
Pe cu aneous
closu e
o
pa a al ula
leaks
(PVLs)
a e
ao -
ic
al e
eplacemen
has
eme ged
as
an
e ec i e
---
and
o en
fi s -line
--- choice
o
pa ien s
wi h
significan
pa -
a al ula
egu gi a ion
equi ing
in e en ion.
The
de ec
can
be
app oached
ia
di e en
ou es
(an eg ade
anssep-
al,
e og ade
ansao ic,
o
ansapical)
based
on
he
posi ion
o
he
al e,
loca ion
o
he
de ec
and
ope a o
expe ise.
Se e al
imaging
modali ies
ha e
been
used,
bu
p edic -
ing
he
numbe
and
size
o
de ices
o
be
implan ed
emains
challenging.
We
p esen
he
case
o
a
73-yea -old
man
admi ed
o
hea
ailu e
due
o
se e e
PVL
o
a
biop os he ic
ao -
ic
al e
(Figu e
1A).
A e
ca diac
compu ed
omog aphy
(Figu e
1B
and
C),
a
h ee-dimensional
(3D)
p in ed
model
o
∗Co esponding
au ho .
E-mail
add ess:
[email p o ec ed]
(T.
Rod igues).
he
hea
(Figu e
1D---F)
was
made
and
he
PVL
was
closed
in
a
pa ien -specific
simula ion
wi h
h ee
Ampla ze
Vascula
Plugs
(AVP)
(5-mm
AVP
III
14,
5-mm
AVP
III
10
and
5-mm
AVP
II).
The
p ocedu e
was
eplica ed
in
he
pa ien
wi hou
sig-
nifican
esidual
egu gi a ion
on
colo
3D
ansesophageal
echoca diog aphy
(Figu e
1G).
This
case
demons a es
ha
3D
p in ed
models
can
be
ex emely
use ul
o
de ailed
p ep ocedu al
planning
o
pe cu aneous
closu e
o
PVLs,
and
enable
bench- es ing
o
help
iden i y
he
loca ion
and
op imal
ype,
numbe ,
and
size
o
de ice(s)
o
be
used.
This
is
especially
use-
ul
in
di ficul
ana omies
and
in
cases
wi h
ailed
p e ious
a emp s.
Addi ionally,
3D
p in ing
enhances
doc o -pa ien
communica ion
and
ul ima ely
empowe s
pa ien
deci-
sions.
h ps://doi.o g/10.1016/j. epc.2022.03.011
0870-2551/©
2023
Published
by
Else ie
Espa˜
na,
S.L.U.
on
behal
o
Sociedade
Po uguesa
de
Ca diologia.
This
is
an
open
access
a icle
unde
he
CC
BY-NC-ND
license
(h p://c ea i ecommons.o g/licenses/by-nc-nd/4.0/).
T.
Rod igues,
J.
Sil a
Ma ques
and
F.J.
Pin o
Figu e
1
(A)
T ansesophageal
echoca diog aphy
showing
se e e
pa a al ula
leak
(PVL)
o
he
biop os he ic
ao ic
al e;
(B
and
C)
ca diac
compu ed
omog aphy
images
used
o
con-
s uc
he
h ee-dimensional
(3D)
p in ed
models
o
he
hea ;
Figu e
1
(Con inued)
Conflic s
o
in e es
The
au ho s
ha e
no
conflic s
o
in e es
o
decla e.
(D---F)
3D
p in ed
model
o
he
hea
wi h
simula ion
o
PVL
closu e
using
h ee
Ampla ze
Vascula
Plugs
(AVP)
(5-mm
AVP
III
14,
5-mm
AVP
III
10
and
5-mm
AVP
II);
(G)
fluo oscopy
image
o
he
p ocedu e.
676