Innovative technology aids surgical planning for patient with Kommerell’s diverticulum and right-sided aortic arch.
In a groundbreaking collaboration, Cleveland Clinic Abu Dhabi and New York University Abu Dhabi have successfully employed advanced 3D printing technology to create a precise model of a patient’s heart, facilitating the planning of a complex surgical intervention for a rare cardiovascular anomaly.
The case involved a 41-year-old patient, Mian Mohamed Shabbie, who presented with a congenital defect of the aorta. Specifically, Shabbie had a right-sided aortic arch accompanied by a giant aneurysm, a condition known as Kommerell’s diverticulum. This rare anatomical variation, occurring in only 0.03% of the global population, posed significant challenges for surgical intervention.
Technological innovation in surgical planning
The 3D printing technology, developed by NYU Abu Dhabi’s Core Technology Platform, involves a three-stage process: 3D image reconstruction, 3D slicing, and 3D printing. This approach allows for the creation of a physical replica of the patient’s anatomy, offering surgeons the opportunity to examine and simulate pre-surgical procedures with unprecedented accuracy.
Dr Houssam Younes, Department Chair for Vascular Surgery within the Heart, Vascular & Thoracic Institute at Cleveland Clinic Abu Dhabi, explained the rarity and complexity of the case: “Kommerell’s diverticulum is a rare cardiovascular abnormality, even more so when combined with a right-sided aortic arch. Due to its asymptomatic nature or presentation with symptoms commonly associated with other conditions, these congenital deformities are infrequently detected, calling for a high level of physician and technological expertise during surgical interventions.”
Surgical challenges
The right-sided arch in Shabbie’s case presented additional surgical difficulties. Dr Yazan Aljabery, Cardiac Surgeon at Cleveland Clinic Abu Dhabi, explained: “Correcting a case of Kommerell’s diverticulum when the aorta arches left, as is typical, is relatively straightforward because the deformity is accessible and visible. However, when the vessel arches right, as in this case, the defect is obscured by other large vessels, making surgical interventions particularly challenging. Using a 3D-printed model in such cases enhances the safety of the procedure and allows for more precise and tailored surgery.”
Broader applications
While this particular case focused on a cardiovascular application, the potential of this 3D printing technology extends beyond cardiac surgery. Researchers at Cleveland Clinic Abu Dhabi are exploring its use in various medical fields where complex anatomical structures are involved, including neurology.
The successful implementation of this technology aligns with Cleveland Clinic Abu Dhabi’s designation as a Centre of Excellence for Adult Cardiac Surgery by the Department of Health – Abu Dhabi. This recognition underscores the hospital’s commitment to providing comprehensive, integrated cardiac surgery and structural heart disease interventions.
This collaboration between Cleveland Clinic Abu Dhabi and NYU Abu Dhabi exemplifies the potential of interdisciplinary partnerships in advancing patient care. By leveraging cutting-edge technology, medical professionals can now approach complex cases with enhanced precision and confidence, potentially improving outcomes for patients with rare and challenging conditions.
