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49% CT and 21.79% 3D model). Accurate assessment of a separate AAOCA ostium was highest on 3D models (97.40%). Ostial stenosis was more accurately assessed on 3D models (56.41%). When accuracy was separated by subspecialty, CT and 3D models were more accurately assessed by all participants regardless of training. Conclusions Cardiac imagers and congenital cardiothoracic surgeons most accurately assessed AAOCA presence, type and course on cardiac CT and 3D models. 3D models were superior in representation of ostial characteristics. CT a