The 3D printed cardiac model: a potential tool in transcatheter complex atrial septal defect closure—a case report study

European Heart Journal - Case Reports

11 August 2026
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ESC Journals IMAGING Cardiac Computed Tomography (CT) Cross-Modality and Multi-Modality Imaging Topics Echocardiography Interventional Cardiology VALVULAR, MYOCARDIAL, PERICARDIAL, PULMONARY, CONGENITAL HEART DISEASE Congenital Heart Disease and Paediatric Cardiology

Abstract

AbstractBackground

The transcatheter closure of atrial septal defects (ASDs) can be complicated by inferior-posterior rim deficiency. Percutaneous closure is possible but demands detailed pre-procedural imaging.

Case summary

In this case, we present a successful percutaneous closure of two secundum ASDs complicated by the absence of the inferior-posterior rim. Pre-procedural simulations were conducted on a printed cardiac 3D model based on cardiac CT imaging.

Discussion

Atrial septal defects with an inferior-posterior rim deficiency/absence are associated with an increased risk of device failure in percutaneous closure. Creating a 3D model offers improved understanding of the complex anatomy of the defects and allows pre-procedural simulation of the procedure, which may contribute to successful closure.

Contributors

Jan Baan
Jan Baan

Author

Maik J Grundeken
Maik J Grundeken

Author

Amsterdam University Medical Centre (AUMC) Amsterdam , Netherlands (The)