PMID- 35402549 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220413 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 9 DP - 2022 TI - Case Report: Three-Dimensional Printing Model for Surgical Planning of Left Ventricular Aneurysm: Evolution Toward Tailoring Surgery. PG - 852682 LID - 10.3389/fcvm.2022.852682 [doi] LID - 852682 AB - A 59-year-old woman was admitted to the emergency department for heart failure (HF), New York Heart Association (NYHA) IV, showing an anterior, evolved myocardial infarction (MI) with a wide apical left ventricular aneurysm (LVA), ejection fraction (EF) 24%, and global longitudinal strain (GLS) -5. 5% by echo. Cardiac magnetic resonance imaging (MRI) confirmed an apical LVA without thrombus, EF 20%, and a transmural delayed enhancement in the myocardium wall. Coronarography showed a three-vessel disease with occluded proximal left anterior descending (LAD) and proximal right coronary artery (RCA). Based on the cardiac CT scan, we decided to generate a three-dimensional (3D) print model of the heart, for better prediction of residual LV volumes. After LVA surgery plus complete functional revascularization, an optimal agreement was found between predicted and surgical residual LV end-diastolic (24.7 vs. 31.8 ml/m(2)) and end-systolic (54.1 vs. 69.4 ml/m(2)) volumes, with an improvement of NYHA class, from IV to I. The patient was discharged uneventfully and at 6- and 12-month follow-up, the NYHA class, and LV volumes were found unchanged. This is a second report describing the use of the 3D print model for the preoperative planning of surgical management of LVA; the first report was described by Jacobs et al. among three patients, one with a malignant tumor and the remaining two patients with LVA. This article focused on the use of the 3D print model to optimize surgical planning and individualize treatment of LVA associated with complete functional revascularization, leading to complete recovery of LV function with a favorable outcome. CI - Copyright (c) 2022 Carrabba, Buonamici, Furferi, Carfagni, Vannini, Valenti, Cerillo, Marchionni and Stefano. FAU - Carrabba, Nazario AU - Carrabba N AD - Cardiovascular and Thoracic Department of Careggi Hospital, Florence, Italy. FAU - Buonamici, Francesco AU - Buonamici F AD - Department of Industrial Engineering of Florence, University of Florence, Florence, Italy. FAU - Furferi, Rocco AU - Furferi R AD - Department of Industrial Engineering of Florence, University of Florence, Florence, Italy. FAU - Carfagni, Monica AU - Carfagni M AD - Department of Industrial Engineering of Florence, University of Florence, Florence, Italy. FAU - Vannini, Matteo AU - Vannini M AD - Cardiovascular and Thoracic Department of Careggi Hospital, Florence, Italy. FAU - Valenti, Renato AU - Valenti R AD - Cardiovascular and Thoracic Department of Careggi Hospital, Florence, Italy. FAU - Cerillo, Alfredo Giuseppe AU - Cerillo AG AD - Cardiovascular and Thoracic Department of Careggi Hospital, Florence, Italy. FAU - Marchionni, Niccolo AU - Marchionni N AD - Cardiovascular and Thoracic Department of Careggi Hospital, Florence, Italy. FAU - Stefano, Pierluigi AU - Stefano P AD - Cardiovascular and Thoracic Department of Careggi Hospital, Florence, Italy. LA - eng PT - Case Reports DEP - 20220325 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 PMC - PMC8990127 OTO - NOTNLM OT - 3D printing model OT - CAD OT - heart failure OT - left ventricular aneurysm OT - surgical ventricular restoration COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/04/12 06:00 MHDA- 2022/04/12 06:01 PMCR- 2022/01/01 CRDT- 2022/04/11 05:31 PHST- 2022/01/11 00:00 [received] PHST- 2022/02/23 00:00 [accepted] PHST- 2022/04/11 05:31 [entrez] PHST- 2022/04/12 06:00 [pubmed] PHST- 2022/04/12 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fcvm.2022.852682 [doi] PST - epublish SO - Front Cardiovasc Med. 2022 Mar 25;9:852682. doi: 10.3389/fcvm.2022.852682. eCollection 2022.