Esophageal atresia with right aortic arch: An experience of thoracoscopic repair through left thorax. Issue 2 (3rd September 2020)

• Record Type: Journal Article
• Authors: Saka, Ryuta; Tazuke, Yuko; Ueno, Takehisa; Nomura, Motonari; Deguchi, Koichi; Okuyama, Hiroomi
• Is Part Of: Asian journal of endoscopic surgery. Volume 14:Issue 2(2021)
• Page Start: 301
• Page End: 304
• Publication Date: 2020-09-03
• Subjects: esophageal atresia -- right aortic arch -- thoracoscopy; Endoscopic surgery -- Periodicals; Endoscopic surgery -- Asia -- Periodicals; 617.05705
• DOI: 10.1111/ases.12862
• Languages: English
• ISSNs: 1758-5902

Abstract

Abstract: Right aortic arch (RAA) is one of congenital cardiovascular anomalies associated with esophageal atresia (EA). The surgical treatment for EA with RAA is still challenging. Although most pediatric surgeons are familiar with the right‐sided approach, the division of the tracheoesophageal fistula and the anastomosis of the esophagus through right thorax are often difficult in cases of RAA. There are a few reports on thoracoscopic repair for EA with RAA. We report a case of EA with RAA treated by left‐sided thoracoscopic approach. With left‐sided thoracoscopic approach, identification and anastomosis of the esophagus could be safely performed without obstruction by the right‐sided descending aorta. There was no leakage or stricture. Thoracoscopic repair of EA with RAA through the left thorax is feasible and safe without obstruction by the right‐sided descending aorta.