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Case report: Surgical repair of congenitally corrected transposition of the great arteries with the guidance of three-dimensional printing

A 10-year-old girl presented with obvious cyanosis, and the saturation of arterial blood oxygen (SpO(2)) was decreased to 60.5% in the outpatient examination. Computed tomography angiography (CTA) and echocardiography suggested congenitally corrected transposition of the great arteries (ccTGAs), mem...

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Autores principales: Zhang, Yanchun, Li, Yongnan, Ma, YuMei, Wei, Yalin, He, Fengxiao, Zhu, Yilin, Lu, Weixin, Zhao, Yinglu, Wu, Xiangyang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852815/
https://www.ncbi.nlm.nih.gov/pubmed/36684563
http://dx.doi.org/10.3389/fcvm.2022.1101929
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author Zhang, Yanchun
Li, Yongnan
Ma, YuMei
Wei, Yalin
He, Fengxiao
Zhu, Yilin
Lu, Weixin
Zhao, Yinglu
Wu, Xiangyang
author_facet Zhang, Yanchun
Li, Yongnan
Ma, YuMei
Wei, Yalin
He, Fengxiao
Zhu, Yilin
Lu, Weixin
Zhao, Yinglu
Wu, Xiangyang
author_sort Zhang, Yanchun
collection PubMed
description A 10-year-old girl presented with obvious cyanosis, and the saturation of arterial blood oxygen (SpO(2)) was decreased to 60.5% in the outpatient examination. Computed tomography angiography (CTA) and echocardiography suggested congenitally corrected transposition of the great arteries (ccTGAs), membranous ventricular septal aneurysm (MVSA), atrial septal defect (ASD), severe pulmonary stenosis (PS), and severe tricuspid regurgitation (TR). Due to the complex pathological anatomical structures, the three-dimensional printed model was used for preoperative assessment. After a comprehensive evaluation was completed, the operation was performed by physiological correction under cardiopulmonary bypass, including the resection of MVSA, repair using the bovine pericardial patch for ASD, and linear valvuloplasty of the tricuspid valve. Due to the special anatomical structures of ccTGA, PS was treated by extracardiac pipe technique. After the operation, the patient recovered well, cyanosis disappeared, SpO(2) was up to 96%, and the extracardiac pipe was well-functioning without regurgitation or obstruction.
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spelling pubmed-98528152023-01-21 Case report: Surgical repair of congenitally corrected transposition of the great arteries with the guidance of three-dimensional printing Zhang, Yanchun Li, Yongnan Ma, YuMei Wei, Yalin He, Fengxiao Zhu, Yilin Lu, Weixin Zhao, Yinglu Wu, Xiangyang Front Cardiovasc Med Cardiovascular Medicine A 10-year-old girl presented with obvious cyanosis, and the saturation of arterial blood oxygen (SpO(2)) was decreased to 60.5% in the outpatient examination. Computed tomography angiography (CTA) and echocardiography suggested congenitally corrected transposition of the great arteries (ccTGAs), membranous ventricular septal aneurysm (MVSA), atrial septal defect (ASD), severe pulmonary stenosis (PS), and severe tricuspid regurgitation (TR). Due to the complex pathological anatomical structures, the three-dimensional printed model was used for preoperative assessment. After a comprehensive evaluation was completed, the operation was performed by physiological correction under cardiopulmonary bypass, including the resection of MVSA, repair using the bovine pericardial patch for ASD, and linear valvuloplasty of the tricuspid valve. Due to the special anatomical structures of ccTGA, PS was treated by extracardiac pipe technique. After the operation, the patient recovered well, cyanosis disappeared, SpO(2) was up to 96%, and the extracardiac pipe was well-functioning without regurgitation or obstruction. Frontiers Media S.A. 2023-01-06 /pmc/articles/PMC9852815/ /pubmed/36684563 http://dx.doi.org/10.3389/fcvm.2022.1101929 Text en Copyright © 2023 Zhang, Li, Ma, Wei, He, Zhu, Lu, Zhao and Wu. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Zhang, Yanchun
Li, Yongnan
Ma, YuMei
Wei, Yalin
He, Fengxiao
Zhu, Yilin
Lu, Weixin
Zhao, Yinglu
Wu, Xiangyang
Case report: Surgical repair of congenitally corrected transposition of the great arteries with the guidance of three-dimensional printing
title Case report: Surgical repair of congenitally corrected transposition of the great arteries with the guidance of three-dimensional printing
title_full Case report: Surgical repair of congenitally corrected transposition of the great arteries with the guidance of three-dimensional printing
title_fullStr Case report: Surgical repair of congenitally corrected transposition of the great arteries with the guidance of three-dimensional printing
title_full_unstemmed Case report: Surgical repair of congenitally corrected transposition of the great arteries with the guidance of three-dimensional printing
title_short Case report: Surgical repair of congenitally corrected transposition of the great arteries with the guidance of three-dimensional printing
title_sort case report: surgical repair of congenitally corrected transposition of the great arteries with the guidance of three-dimensional printing
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9852815/
https://www.ncbi.nlm.nih.gov/pubmed/36684563
http://dx.doi.org/10.3389/fcvm.2022.1101929
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