Stenting complex aortic coarctation: simulation in a 3D printed model

EuroIntervention 2017;13: published online February 2017. DOI: 10.4244/EIJ-D-16-00851

Francesca Romana Pluchinotta
Francesca Romana Pluchinotta*, MD; Luca Giugno, MD; Mario Carminati, MD
Department of Pediatric Cardiology and Adult Congenital Heart Disease, IRCCS Policlinico San Donato, Milan, Italy

A 23-year-old lady with aortic coarctation was referred for percutaneous treatment. Cardiac CT demonstrated severe coarctation distal to the origin of the left carotid artery (LCA) with hypoplasia of the left subclavian artery (Panel A). The planned procedure was to implant a covered stent to reduce the risk of aortic dissection or rupture. However, using a covered stent, the risk of occluding the origin of the LCA had to be considered. An innovative approach was planned and tested in a 3D model printed in HeartPrint® Flex material (Materialise, Leuven, Belgium) (Panel B). A single covered CP Stent™ 39 mm (...

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