Right or left thoracotomy for esophageal atresia and right aortic arch? Systematic review and surgicoanatomic justification

2018 ◽  
Vol 53 (11) ◽  
pp. 2128-2135 ◽  
Author(s):  
Anastasia Mentessidou ◽  
Ilias Avgerinos ◽  
Nikolaos Avgerinos ◽  
Panagiotis N. Skandalakis ◽  
Petros Mirilas
2016 ◽  
Vol 51 (2) ◽  
pp. 304-309 ◽  
Author(s):  
Filippo Parolini ◽  
Andrea Armellini ◽  
Giovanni Boroni ◽  
Pietro Bagolan ◽  
Daniele Alberti

2019 ◽  
Vol 54 (4) ◽  
pp. 688-692 ◽  
Author(s):  
Dave R. Lal ◽  
Samir K. Gadepalli ◽  
Cynthia D. Downard ◽  
Peter C. Minneci ◽  
Michelle Knezevich ◽  
...  

1977 ◽  
Vol 12 (6) ◽  
pp. 861-869 ◽  
Author(s):  
Michael R. Harrison ◽  
Bruce A. Hanson ◽  
G.Hossein Mahour ◽  
Masato Takahashi ◽  
Jordan J. Weitzman

1979 ◽  
Vol 14 (4) ◽  
pp. 436-437 ◽  
Author(s):  
Walter E. Berdon ◽  
David H. Baker ◽  
John N. Schullinger ◽  
Thomas V. Santulli

1990 ◽  
Vol 5 (2) ◽  
Author(s):  
G. Stringel ◽  
D. Coln ◽  
L. Guertin

2018 ◽  
Vol 22 (2) ◽  
pp. 96-98
Author(s):  
Yu. A. Kozlov ◽  
V. A. Novozhilov ◽  
I. N. Veber ◽  
A. A. Rasputin ◽  
K. A. Kovalkov ◽  
...  

Right-sided (right, in dextral position) aortic arch (RAA) is recorded in approximately 5% of esophageal atresia (EA) patients. This vascular abnormality may complicate the surgical treatment of EA and is still an unsolved problem in pediatric surgery. Conventional methods for determining the anatomy of the aortic arch do not always provide accurate data, which can lead to thoracotomy on the side of the aortic arch. Skills and preferences of the surgeon still determine the choice of surgical approach in EA patients with RAA. For most experienced surgeons, to make anastomosis of the esophagus in patients with RAA from right access is not so difficult. However, in EA patients with RAA, combined with the vascular ring, left-sided thoracotomy can make the final combined reconstruction technically simpler. In this scientific review, we sought to determine the prevalence rate of RAA in the population of EA patients, the level of pre-operative evaluation of this vascular anomaly, and the existing surgical strategies that consist in choosing the optimal side for access to the esophagus.


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