Three-dimensional printing guided precise surgery for right-sided aortic arch associated with Kommerell's...

Area of Science:

• Cardiovascular Surgery
• Medical Imaging
• Congenital Heart Defects

Background:

• Right-sided aortic arch (RSAA) with Kommerell's diverticulum (KD) is a rare congenital anomaly.
• This condition presents complex surgical challenges due to aberrant anatomy.
• Optimal surgical outcomes require clear visualization of the aorta and its branches.

Purpose of the Study:

• To evaluate the utility of three-dimensional (3D) printing in guiding surgical repair of RSAA with KD.
• To assess the safety and efficacy of using 3D printed models in complex aortic defect surgery.

Main Methods:

• A case study of a 42-year-old male patient with RSAA, KD, and aberrant left subclavian artery.
• Surgical planning and guidance were performed using a patient-specific 3D printed model of the aortic arch.
• The surgical procedure was conducted with direct assistance from the 3D printed model.

Main Results:

• The 3D printed model provided direct and entire visibility of the aorta and its branches.
• The surgical procedure was successfully performed with the assistance of the 3D model.
• The patient experienced a satisfying surgical outcome.

Conclusions:

• The combination of 3D printing technology and surgical intervention offers a promising approach for treating complex aortic defects like RSAA with KD.
• 3D printing enhances surgical precision and visualization in complex congenital aortic anomalies.
• This technique represents a valuable advancement in the surgical management of rare aortic malformations.