Estatísticas

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          "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">&#40;A&#41; Transesophageal echocardiography showing severe paravalvular leak &#40;PVL&#41; of the bioprosthetic aortic valve&#59; &#40;B and C&#41; cardiac computed tomography images used to construct the three-dimensional &#40;3D&#41; printed models of the heart&#59; &#40;D&#8211;F&#41; 3D printed model of the heart with simulation of PVL closure using three Amplatzer Vascular Plugs &#40;AVP&#41; &#40;5-mm AVP III 14&#44; 5-mm AVP III 10 and 5-mm AVP II&#41;&#59; &#40;G&#41; fluoroscopy image of the procedure&#46;</p>"
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Percutaneous closure of paravalvular leaks &#40;PVLs&#41; after aortic valve replacement has emerged as an effective &#8211; and often first-line &#8211; choice for patients with significant paravalvular regurgitation requiring intervention&#46; The defect can be approached via different routes &#40;antegrade transseptal&#44; retrograde transaortic&#44; or transapical&#41; based on the position of the valve&#44; location of the defect and operator expertise&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Several imaging modalities have been used&#44; but predicting the number and size of devices to be implanted remains challenging&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">We present the case of a 73-year-old man admitted for heart failure due to severe PVL of a bioprosthetic aortic valve &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>A&#41;&#46; After cardiac computed tomography &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>B and C&#41;&#44; a three-dimensional &#40;3D&#41; printed model of the heart &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>D&#8211;F&#41; was made and the PVL was closed in a patient-specific simulation with three Amplatzer Vascular Plugs &#40;AVP&#41; &#40;5-mm AVP III 14&#44; 5-mm AVP III 10 and 5-mm AVP II&#41;&#46; The procedure was replicated in the patient without significant residual regurgitation on color 3D transesophageal echocardiography &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Figure 1</a>G&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">This case demonstrates that 3D printed models can be extremely useful for detailed preprocedural planning of percutaneous closure of PVLs&#44; and enable bench-testing to help identify the location and optimal type&#44; number&#44; and size of device&#40;s&#41; to be used&#46; This is especially useful in difficult anatomies and in cases with failed previous attempts&#46; Additionally&#44; 3D printing enhances doctor-patient communication and ultimately empowers patient decisions&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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