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The use of three-dimensional modeling in a patient with subaortic obstruction late after the Fontan procedure

Authors: Mataev V.S., Volkov S.S., Khalvani M.Yu., Grenaderov M.A., Chernogrivov I.E.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

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Type:  Clinical Cases


DOI: https://doi.org/10.24022/1997-3187-2025-19-3-383-390

For citation: Mataev V.S., Volkov S.S., Khalvani M.Yu., Grenaderov M.A., Chernogrivov I.E. The use of three-dimensional modeling in a patient with subaortic obstruction late after the Fontan procedure. Creative Cardiology. 2025; 19 (3): 383–390 (in Russ.). DOI: 10.24022/1997-3187-2025-19-3-383-390

Received / Accepted:  01.07.2025 / 30.08.2025

Keywords: Fontan procedure subaortic obstruction three-dimensional modeling 3D modeling congenital heart defect cardiac surgery surgical planning



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Abstract

Three-dimensional (3D) modeling is one of the most promising areas in modern cardiac surgery, particularly for planning operations in patients with complex congenital heart defects. This technology allows for the creation of a personalized anatomical model, which is essential for the accurate visualization of intracardiac anatomy, assessment of hemodynamics, and pre-operative simulation of the surgical procedure. This clinical case demonstrates the successful application of the technique in an adult patient with subaortic obstruction in the long-term period after the Fontan procedure. The use of a 3D model, created based on computed tomography data, enabled a detailed assessment of the spatial relationships of cardiac structures and the selection of an optimal surgical strategy, which ultimately contributed to a successful outcome.

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About Authors

  • Viktor S. Mataev, Cand. Med. Sci., Cardiovascular Surgeon; ORCID
  • Sergey S. Volkov, Cand. Med. Sci., Cardiovascular Surgeon; ORCID
  • Mariya Yu. Khalvani, Cardiovascular Surgeon; ORCID
  • Mikhail A. Grenaderov, Cardiovascular Surgeon; ORCID
  • Igor E. Chernogrivov, Dr. Med. Sci., Head of Department; ORCID

Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery


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