{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:12:35Z","timestamp":1777878755202,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T00:00:00Z","timestamp":1737504000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Double outlet right ventricle (DORV) is a challenging congenital cardiac lesion to surgically master. We utilize computed tomography\u2013guided-three-dimensional (3D) modeling\/printing and novel in-house software to delineate anatomical relationships providing operative insight into the surgical approach. Our intent is to highlight this and showcase our technology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We have created a repository of 3D heart reconstructions allowing for review of DORV patients. 3D intraoperative software anatomical manipulation and physical 3D prints were used to gain insight into DORV anatomy with the assistance of an on-site 3D Lab. The software used (Arc 3D Model Viewer) was designed in-house by our 3D Lab, tested and refined through ongoing use by our cardiothoracic surgery team. It allows for the subtraction and addition of anatomical structures and rotation in all axes. Clinicians can pan into the heart and determine specific anatomical boundaries and relationships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 2010 to 2023, our program operated on 71 patients with DORV and our 3D lab has reconstructed 29 3D-hearts. Reconstructions were analyzed using Arc 3D Model Viewer. 3D reconstructions were viewed in our care conferences and intraoperatively allowing for discussion and determination of the optimal operative approach. Overall survival for DORV patients was 96% (68\/71) with two mortalities in patients who did not receive 3D reconstructions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>3D reconstruction has allowed decision-making to be moved out of the operating room into the preoperative planning phase. 3D reconstruction is now standard for all DORV patients in our surgical service. We hope to demonstrate this technology with our newly developed Arc 3D Model Viewer and summarize our clinical results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501351241305129","type":"journal-article","created":{"date-parts":[[2025,1,22]],"date-time":"2025-01-22T04:43:47Z","timestamp":1737521027000},"page":"500-508","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Repair of Double Outlet Right Ventricle Infants Guided by Three Dimensional-Computed Tomography Cardiac Modeling and Printing"],"prefix":"10.1177","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5675-0834","authenticated-orcid":false,"given":"Srujan","family":"Ganta","sequence":"first","affiliation":[{"name":"Cardiothoracic Surgery, Rady Children's Hospital San Diego, San Diego, CA, USA"},{"name":"Cardiothoracic Surgery, University of California San Diego, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin R.","family":"Ryan","sequence":"additional","affiliation":[{"name":"Webster Foundation 3D Innovations Lab, Rady Children's Hospital San Diego, San Diego, CA, USA"},{"name":"Department of Neurological Surgery, UC San Diego Health, La Jolla, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Lewis","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery, Rady Children's Hospital San Diego, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John J.","family":"Nigro","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery, Rady Children's Hospital San Diego, San Diego, CA, USA"},{"name":"Cardiothoracic Surgery, University of California San Diego, San Diego, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,22]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(57)90329-0"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.37.5.371"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)41769-8"},{"key":"e_1_3_5_5_2","first-page":"389","article-title":"Double outlet right ventricle: anatomic types and developmental implications based on a study of 101 autopsied cases","volume":"13","author":"Van Praagh S","year":"1982","unstructured":"Van Praagh S, Davidoff A, Chin A, Shiel F, Reynolds J, Van Praagh R. Double outlet right ventricle: anatomic types and developmental implications based on a study of 101 autopsied cases. Coeur. 1982;13:389\u2013439.","journal-title":"Coeur"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/21501351211032919"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(49)91133-3"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2017.03.049"},{"key":"e_1_3_5_9_2","first-page":"80","volume-title":"Atlas of Congenital Heart Disease Nomenclature: An Illustrated Guide to the Van Praagh and Anderson Approaches to Describing Congenital Cardiac Pathology","author":"Ezon DS","year":"2015","unstructured":"Ezon DS, Goldberg JF, Kyle WB. Atlas of Congenital Heart Disease Nomenclature: An Illustrated Guide to the Van Praagh and Anderson Approaches to Describing Congenital Cardiac Pathology. 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PMID: 37202357; PMCID: PMC10481772.","journal-title":"Interdiscip Cardiovasc Thorac Surg"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/2150135116651399"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.3941\/jrcr.v15i11.4149"},{"key":"e_1_3_5_17_2","first-page":"1013516","article-title":"Patient-specific pediatric silicone heart valve models based on 3D ultrasound","author":"Ilina A","year":"2017","unstructured":"Ilina A, Lasso A, Jolley MA, et al. Patient-specific pediatric silicone heart valve models based on 3D ultrasound. 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