Percutaneous Closure of Left Ventricular Outflow Tract to Left Atrium Fistula With 3-Dimensional Printing Simulation

Authors

Leo Kar Lok Lai, Henry Ford HealthFollow
Georgi Fram, Henry Ford HealthFollow
Hussayn Alrayes, Henry Ford HealthFollow
Dimitrios Apostolou, Henry Ford HealthFollow
James Alter, Henry Ford HealthFollow
Bryan Zweig, Henry Ford HealthFollow
John Dawdy, Henry Ford HealthFollow
Sachin Parikh, Henry Ford HealthFollow
Brian O’Neill, Henry Ford HealthFollow
Pedro A. Villablanca, Henry Ford HealthFollow
Pedro Engel Gonzalez, Henry Ford HealthFollow
William W. O'Neill, Henry Ford HealthFollow
James C. Lee, Henry Ford HealthFollow
Tiberio M. Frisoli, Henry Ford HealthFollow

Recommended Citation

Lai LKL, Fram G, Alrayes H, Apostolou D, Alter J, Zweig B, Dawdy J, Parikh S, O'Neill BP, Villablanca PA, Gonzalez PE, O'Neill WW, Lee JC, and Frisoli TM. Percutaneous Closure of Left Ventricular Outflow Tract to Left Atrium Fistula With 3-Dimensional Printing Simulation. JACC Case Rep 2025;30(26):104889.

Document Type

Article

Publication Date

9-3-2025

Publication Title

JACC Case Rep

Abstract

CASE SUMMARY: We present a case of a 31-year-old man with a history of aortic valve endocarditis and surgical aortic intervention. Computed tomography revealed a complex serpiginous fistula with 2 openings between the left ventricular outflow tract and the left atrium. Using 3-dimensional printing simulation for device fit testing and planning, the "mother-in-daughter" system, multimodality guidance with computed tomography angiography C-arm prediction, and 3-dimensional transesophageal echocardiogram guidance successfully guided an 18-mm Cribriform Amplatzer device deployed via a retrograde approach.

TAKE-HOME MESSAGE: Three-dimensional printing simulation significantly enhances preprocedural planning and device selection for this complex fistula closure, facilitating successful percutaneous repairs in high-risk patients.

PubMed ID

40912839

Volume

30

Issue

26

First Page

104889

Last Page

104889