In this study, the possibility of manufacturing three-dimensional printed heart models in a low-cost facility fulfilling the highest requirements from a technical and clinical point of view is demonstrated.
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This is the most extensive series of 3D printed cardiac models published to date. The average production cost of the models was €85.7 per model. The average time for segmentation and design of the hearts was 136 min the average time for printing and cleaning the models was 13.5 h. All of them were from different congenital heart disease patients. A total of 138 low-cost heart models were designed and printed from 2013 to 2020. Their impact on surgical and interventional planning, medical training, communication with patients and relatives, patients' perception on care, and new cardiac device development was analyzed.
The necessary technology and the processes to set up an affordable three-dimensional printing laboratory are hereby described in detail. The process of 3D printing is based on several steps (image acquisition, segmentation, mesh optimization, slicing, and three-dimensional printing). This is a 7-years single institution study on low-cost cardiac three-dimensional (3D) printing based on the use of free open-source programs and affordable printers and materials.
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