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Technical considerations in robotic aberrant right subclavian artery resection for dysphagia lusoria.

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.

SUBMITTER: Meredith LT

PROVIDER: S-EPMC11222948 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature

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Technical considerations in robotic aberrant right subclavian artery resection for dysphagia lusoria.

Meredith Luke T LT Isch Emily L EL Ali Mohammed Irfan MI Nooromid Michael J MJ Okusanya Olugbenga T OT

Journal of vascular surgery cases and innovative techniques 20240509 4

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 ...[more]

PMID: 38966820

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