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

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 de...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2024-08, Vol.10 (4), p.101525, Article 101525
Main Authors: Meredith, Luke T., Isch, Emily L., Ali, Mohammed Irfan, Nooromid, Michael J., Okusanya, Olugbenga T.
Format: Article
Language:English
Subjects:
Aberrant subclavian artery
Dysphagia lusoria
Innovative technique
Minimally invasive surgery
Robotic surgery
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Summary: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.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2024.101525