Right thoracotomy approach for patients with congenital tracheoesophageal fistula associated with right-sided aortic arch

Shreef, Khalid; Sadeck, Nabil El; Saleem, Mervat; Khalifa, Mohamed; Kassem, Rasha

doi:10.1097/01.xps.0000462664.82660.99

Cited by 2 publications

(1 citation statement)

References 17 publications

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“…The main stumbling blocks are a high conversion rate from thoracoscopy to thoracotomy (4 to 44%) and a prolonged operative time which hurts the PO outcome. [ 13 ] In our series, we adopted the right posterolateral thoracotomy approach in all cases as the neonatal laparoscopic facility is not available in our institute.…”

Section: Discussionmentioning

confidence: 99%

Esophageal atresia and tracheoesophageal fistula: A retrospective review from a tertiary care institute

Chakraborty

Roy

Mandal³

et al. 2022

J West Afr Coll Surg

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Section: Discussionmentioning

confidence: 99%

Esophageal atresia and tracheoesophageal fistula: A retrospective review from a tertiary care institute

Chakraborty

Roy

Mandal³

et al. 2022

J West Afr Coll Surg

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The dilemma after an unforeseen aortic arch anomalies at thoracoscopic repair of esophageal atresia: Is curtailing surgery still a necessity?

et al. 2022

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Background and objective: There are several forms of relevant epi-aortic branching anomalies, and perhaps that is why different views as to the best approach have been reported. To help resolve this dilemma, we examined the unforeseen arch anomalies found at thoracoscopic repair of esophageal atresia and the outcomes. Methods: In a retrospective cohort, all consecutive patients who were thoracoscopically approached for esophageal atresia over a 5-year period with unforeseen aortic/epi-aortic branching were identified and grouped. Thoracoscopic views, operative interventions, and outcomes were studied. Results: A total of 121 neonates were thoracoscopically approached for EA, of whom 18 cases with aberrant aortic architecture were selected. Four (3%) cases were diagnosed on a preoperative echocardiography as a right-sided aortic arch, whereas unforeseen anomalous anatomies were reported in 14 cases (11.6%): left aortic arch with an aberrant right subclavian artery (ARSA) (n = 10), right-sided aortic arch with an aberrant left subclavian artery (ALSA) (n = 3), and mirror-image right arch (n = 1). Single postoperative mortality was reported among the group with left arch and ARSA (10%), whereas all the cases with right arch and ALSA died. Conclusions: In all, 11.6% of the studied series exhibited unexpected aberrant aortic architecture, with higher complication rates in comparison to the typical thoracoscopic repairs. For EA with left aortic arch and ARSA, the primary esophageal surgery could safely be completed. Meanwhile, curtailing surgery—after ligating the TEF—to get advanced imaging is still advised for both groups with the right arch due to the significant existence of vascular rings.

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Right thoracotomy approach for patients with congenital tracheoesophageal fistula associated with right-sided aortic arch

Cited by 2 publications

References 17 publications

Esophageal atresia and tracheoesophageal fistula: A retrospective review from a tertiary care institute

Esophageal atresia and tracheoesophageal fistula: A retrospective review from a tertiary care institute

The dilemma after an unforeseen aortic arch anomalies at thoracoscopic repair of esophageal atresia: Is curtailing surgery still a necessity?

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