{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T06:26:47Z","timestamp":1765261607786,"version":"3.46.0"},"reference-count":21,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T00:00:00Z","timestamp":1761436800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>An aorto\u2010cameral fistula (ACF) is a rare abnormal communication between the aorta and a cardiac chamber, often resulting from trauma, ruptured sinus of Valsalva aneurysms, infective endocarditis, aortic dissection, or iatrogenic causes. Clinical presentations vary from asymptomatic cases to severe hemodynamic compromise, including heart failure, arrhythmias, and sudden cardiac death. We present a 17\u2010year\u2010old female with exertional dyspnea and fatigue, 9\u2009years after a penetrating chest trauma. Transthoracic echocardiography and cardiac CT revealed an 8\u2009mm fistulous connection between the right sinus of Valsalva and the right ventricular outflow tract. Surgical repair under cardiopulmonary bypass successfully closed the defect with 5\u20100 Prolene sutures, confirmed intraoperatively without residual shunting or aortic valve dysfunction. The patient recovered uneventfully and was discharged on postoperative day four. This case highlights the diagnostic challenges of chronic traumatic ACF and emphasizes the importance of multimodal imaging for early detection and timely surgical intervention to prevent long\u2010term hemodynamic deterioration. Given the potential for delayed complications, clinicians should maintain a high index of suspicion for post\u2010traumatic cardiac fistulas, even years after the initial injury.<\/jats:p>","DOI":"10.1002\/ccr3.71359","type":"journal-article","created":{"date-parts":[[2025,10,27]],"date-time":"2025-10-27T06:39:21Z","timestamp":1761547161000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Chronic Traumatic Aortoventricular Fistula Following a Stab Injury: A Case Report"],"prefix":"10.1002","volume":"13","author":[{"given":"Ubaid","family":"Ullah","sequence":"first","affiliation":[{"name":"Khyber Medical College  Peshawar Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sultan","family":"Zaib","sequence":"additional","affiliation":[{"name":"Rehman Medical College  Peshawar Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malik W. Z.","family":"Khan","sequence":"additional","affiliation":[{"name":"Yale University School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hammad","family":"Iftikhar","sequence":"additional","affiliation":[{"name":"Khyber Medical College  Peshawar Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aamir","family":"Iqbal","sequence":"additional","affiliation":[{"name":"Peshawar Institute of Cardiology  Peshawar Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdul","family":"Nasir","sequence":"additional","affiliation":[{"name":"Peshawar Institute of Cardiology  Peshawar Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umar","family":"Farooq","sequence":"additional","affiliation":[{"name":"Saidu Group of Teaching Hospital  Swat Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alishba","family":"Hameed","sequence":"additional","affiliation":[{"name":"Khyber Medical College  Peshawar Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6653-0661","authenticated-orcid":false,"given":"Jibran","family":"Ikram","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Foundation  Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,10,26]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/674608"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjcr\/ytaa107"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)01045-0"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinimag.2021.07.013"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(25)01637\u2010X"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20108703(05)80189\u20105"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2006.11.047"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.22359"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022\u20105223(97)70014\u20108"},{"issue":"2","key":"e_1_2_15_11_1","first-page":"S1","article-title":"Ruptured Sinus of Valsalva Aneurysm: A Case Report and Literature Review","volume":"92","author":"Ariyachaipanich A.","year":"2009","journal-title":"Journal of the Medical Association of Thailand = Chotmaihet Thang Phaet"},{"volume-title":"The Clinical Recognition of Congenital Heart Disease","year":"2012","author":"Perloff J. K.","key":"e_1_2_15_12_1"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.42790"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e3181d4739e"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20104975(00)01842\u20106"},{"volume-title":"Cardiac Surgery","year":"2013","author":"Kirklin J. W.","key":"e_1_2_15_16_1"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2014.11.015"},{"key":"e_1_2_15_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003\u20104975(10)61844\u20103"},{"key":"e_1_2_15_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540\u20108191.2005.200412.x"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540\u20108183.2004.00350.x"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20108703(62)90059\u20104"},{"issue":"5","key":"e_1_2_15_22_1","first-page":"II20","article-title":"Long\u2010Term Outcome of Surgical Repair of Ruptured Sinus of Valsalva Aneurysm","volume":"90","author":"Van Son J. A.","year":"1994","journal-title":"Circulation"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71359","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T05:52:52Z","timestamp":1765259572000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71359"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,26]]},"references-count":21,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/ccr3.71359"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71359","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2025,10,26]]},"assertion":[{"value":"2025-02-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-04","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71359"}}