Robotic Resection of Aberrant Right Subclavian Artery for Dysphagia Lusoria

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.

Reference(s)

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.