JACC. Case reports · 2026
Novel Surgical/Transcatheter Hybrid Repair of Post-Infarct Ventricular Pseudoaneurysm After 3D Printing Predictive Modeling.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Axline Michael S, Solomon Brian, Verghese Dhiran, Muller Laura, Axline David, Pascotto Robert, Dorazio Stephen, Caranasos Thomas, Albaghdadi Mazan, Cudemus Gaston, Navas Viviana, Wang Dee Dee, Cubeddu Robert J
Аннотация
BACKGROUND: Ventricular septal rupture (VSR) and ventricular free wall rupture, are 2 lethal complications of acute myocardial infarction (AMI). Surgical and endovascular transcatheter techniques have been described in both, but with exceedingly high mortality rates.
CASE SUMMARY: We describe a complex case of double insult injury after AMI resulting in ventricular septal rupture and pseudoaneurysm treated using predictive 3-dimensional (3D) printing and first-of-its-kind hybrid technique to effectively repair both defects.
DISCUSSION: This case report highlights a novel hybrid repair technique, the role of predictive 3D modeling, and a successful collaborative heart team approach to a complex clinical case.
TAKE-HOME MESSAGES: The heart team is indispensable when caring for patients with complex cardiac scenarios. Multimodality cardiac imaging, including 3D printing, is a powerful tool for clinical decision-making. A hybrid surgical and transcatheter technique is a safe and reasonable strategy to overcome high surgical risk of 2 major mechanical complications of AMI.
CASE SUMMARY: We describe a complex case of double insult injury after AMI resulting in ventricular septal rupture and pseudoaneurysm treated using predictive 3-dimensional (3D) printing and first-of-its-kind hybrid technique to effectively repair both defects.
DISCUSSION: This case report highlights a novel hybrid repair technique, the role of predictive 3D modeling, and a successful collaborative heart team approach to a complex clinical case.
TAKE-HOME MESSAGES: The heart team is indispensable when caring for patients with complex cardiac scenarios. Multimodality cardiac imaging, including 3D printing, is a powerful tool for clinical decision-making. A hybrid surgical and transcatheter technique is a safe and reasonable strategy to overcome high surgical risk of 2 major mechanical complications of AMI.