Virtual dissection and endocast three-dimensional reconstructions: maximizing computed tomographic data for procedural planning of an obstructed pulmonary venous baffle

Cardiol Young. 2019 Aug;29(8):1104-1106. doi: 10.1017/S1047951119001501. Epub 2019 Jun 26.

Abstract

We present a case of pulmonary venous baffle obstruction in a child with a history of congenitally corrected transposition status post double switch repair. We highlight two forms of volume rendering three-dimensional reconstructions from computed tomographic data which allowed for detailed pre-surgical planning. These reconstructions emphasise the concept of maximizing previously obtained two-dimensional data in a time-efficient and cost-effective manner. The benefits of these reconstructions are reviewed, highlighting the relatively novel virtual dissection reconstruction technique that appeared identical to what the surgeon encountered in the operating theatre. This technique allowed the surgeon to quickly advance a preconceived detailed surgical repair.

Keywords: CHD; Congenitally corrected transposition of the great arteries; computed tomography; three-dimensional reconstruction.

Publication types

  • Case Reports

MeSH terms

  • Dissection
  • Female
  • Humans
  • Image Processing, Computer-Assisted*
  • Imaging, Three-Dimensional
  • Infant
  • Plastic Surgery Procedures / methods
  • Pulmonary Veins / diagnostic imaging
  • Pulmonary Veins / pathology
  • Pulmonary Veins / surgery*
  • Tomography, X-Ray Computed
  • Transposition of Great Vessels / diagnostic imaging
  • Transposition of Great Vessels / surgery*