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Robotic Resection of Aberrant Right Subclavian Artery for Dysphagia Lusoria
This video is part of CTSNet’s 2023 Innovation Video Competition. Watch all entries into the competition, including the winning videos.
This video presents the case of a fifty-six-year-old woman with progressive dysphagia caused by an aberrant retroesophageal right subclavian artery. A treatment team composed of vascular and thoracic surgeons approached this case with a two-stage approach. The patient’s anatomy was not favorable for TEVAR and would have left a pulsatile artery behind the esophagus.
To begin, the patient underwent a carotid subclavian bypass for maximal blood flow to the affected arm. Surgeons then began a robotic right chest ligation, mobilization, and resection of the aberrant artery. In addition to this unique approach, the authors demonstrate the utilization of the thymus as a unique flap to cover the aortic stump.
- Amini B, Ranchod A, Wawak M, et al. Aberrant right subclavian artery. Reference article, Radiopaedia.org (Accessed on 11 May 2023) https://doi.org/10.53347/rID-831
- Konstantinou N, Antonopoulos CN, Tzanis K, Kölbel T, Peterß S, Pichlmaier M, Stana J, Tsilimparis N. Systematic Review and Meta-Analysis of Outcomes After Operative Treatment of Aberrant Subclavian Artery Pathologies and Suggested Reporting Items. Eur J Vasc Endovasc Surg. 2022 May;63(5):759-767. doi: 10.1016/j.ejvs.2022.02.027. Epub 2022 Feb 25. PMID: 35459610.
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