Technical Considerations in Robotic Aberrant Right Subclavian Artery Resection for Dysphagia Lusoria
Document Type
Conference Proceeding
Publication Date
8-1-2024
Abstract
Dysphagia lusoria occurs due to compression of the esophagus as an aberrant right subclavian artery (ARSA) crosses the mediastinum. Surgical management includes open, hybrid, and endovascular techniques, with no consensus gold standard. There are few reports of robotic-assisted ARSA resection. We describe the innovative technique and outcomes for two patients who successfully underwent robotic-assisted transthoracic resection of an ARSA after right carotid–subclavian bypass for dysphagia lusoria. Both patients experienced improvement or resolution of their dysphagia and no major complications. In select patients with a noncalcified origin of the ARSA without aneurysmal degeneration, the robotic-assisted approach represents a viable option.
Recommended Citation
Meredith, Luke; Isch, Emily; Ali, Mohammed; Nooromid, Michael; and Okusanya, Olugbenga, "Technical Considerations in Robotic Aberrant Right Subclavian Artery Resection for Dysphagia Lusoria" (2024). Department of Surgery Faculty Papers. Paper 264.
https://jdc.jefferson.edu/surgeryfp/264
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Full-size image(Right supraclavicular approach for carotid–subclavian bypass with an 8-mm Dacron graft).jpg (65 kB)
Operative video of robotic-assisted transthoracic resection of the aberrant right subclavian artery in patient 2.mp4 (67731 kB)
Language
English
Comments
This article is the author's final published version in Journal of Vascular Surgery Cases, Innovations and Techniques, Volume 10, Issue 4, August 2024, Article number 101525.
The published version is available at https://doi.org/10.1016/j.jvscit.2024.101525.
Copyright © 2024 The Authors