{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T18:49:23Z","timestamp":1755802163999,"version":"3.44.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Traumatic arteriovenous fistulas involving the thoracic aorta are rare. Their closure remains a challenge for the surgeon due to the vascular changes involved. We aim to highlight the benefits of 3D models and virtual three-dimensional reconstruction when used as a complementary tool in surgical planning.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We present the case of a 38-year-old male patient with a history trauma from a localized bombing, resulting in shrapnel impact to his thorax. He came for surgical treatment due to a diagnosis of arteriovenous fistula at the level of the aortic arch. For surgical planning, two 3D models (with FDM and PolyJet technology) were made to assess the anatomical relationship between the aorta, the left brachiocephalic vein, the fistulous tract and the sternum. The patient was successfully operated on.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>Surgical repair of thoracic fistulas is highly complex, requiring a multi-disciplinary approach and advanced imaging for accurate diagnosis and planning. Procedures are often performed under cardiopulmonary bypass and hypothermia to enhance safety, especially in challenging scenarios. These fistulas frequently cause vascular overload and degenerative venous changes, increasing the risk of haemorrhage and complicating dissection. 3D technology significantly improves surgical planning by enabling accurate fistula localization, guiding sternotomy, simulating procedures, and mapping vascular anomalies. PolyJet models, in particular, provide superior anatomical insight. Thus, 3D modelling serves as a complementary tool that provides life-size, detailed anatomical information of the patient, facilitating better pre-operative surgical planning, and carrying the potential to reduce operative risks.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaf362","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T07:41:21Z","timestamp":1753861281000},"source":"Crossref","is-referenced-by-count":0,"title":["Arteriovenous fistula in the aortic arch: a case report involving 3D models for surgical planning"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4636-1712","authenticated-orcid":false,"given":"Clara Isabel","family":"Perez","sequence":"first","affiliation":[{"name":"Policl\u00ednica Gipuzkoa Cardiac Surgery, , P\u00ba de Miramon 174, 20014 Donostia ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lore","family":"Lakunza","sequence":"additional","affiliation":[{"name":"Biogipuzkoa Healthcare Investigation Institute Multidisciplinary 3D Printing Platform, , P\u00ba Dr Begiristain, 20014 Donostia ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Saenz","sequence":"additional","affiliation":[{"name":"Policl\u00ednica Gipuzkoa Cardiac Surgery, , P\u00ba de Miramon 174, 20014 Donostia ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Voces","sequence":"additional","affiliation":[{"name":"Salamanca University Hospital Cardiac Surgery, , P\u00ba de San Vicente 182, 37007 Salamanca ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ignacio","family":"Gallo","sequence":"additional","affiliation":[{"name":"Policl\u00ednica Gipuzkoa Cardiac Surgery, , P\u00ba de Miramon 174, 20014 Donostia ,","place":["Spain"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,30]]},"reference":[{"key":"2025082102570532800_ytaf362-B1","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1016\/j.jss.2015.06.051","article-title":"Three-dimensional printing in surgery: a review of current surgical applications","volume":"199","author":"Malik","year":"2015","journal-title":"J Surg Res"},{"key":"2025082102570532800_ytaf362-B2","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1016\/B978-0-323-69787-3.00092-7","volume-title":"Current Therapy of Trauma and Surgical Critical Care","author":"Asensio","year":"2024","edition":"3rd ed"},{"key":"2025082102570532800_ytaf362-B3","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.1016\/S0003-4975(02)04826-9","article-title":"Traumatic arteriovenous fistula of ascending aorta and left innominate 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