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International Society For Minimally Invasive Cardiothoracic Surgery

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Barton W. Williams, M.D.
University of Kansas Medical Center, Kansas City, KS, USA.

Background: We are presenting the case of a 50 year old male who presented to our institution following a complaint of severe dysphagia and shortness of breath. During work up for his dysphagia a CT scan was obtained which revealed a double aortic arch encasing the trachea and esophagus causing leftward displacement. The left-sided aortic arch had a short compressive segment located between the left subclavian artery and the descending thoracic aorta which measured ~3 cm. After preoperative work up, we elected to perform a minimally invasive robotic assisted ligation of the ligamentum arteriosum as well as the compressive segment. With release of the compressive segment of the left aortic arch, and mobilization of the esophagus, the patients symptoms resolved completely. Methods: We will be demonstrating the feasibility of a minimally invasive, robotic assisted approach to the ligation of a double aortic arch in an adult Results: We demonstrated the ability to successfully ligate a vascular ring in an adult with a double aortic arch utilizes minimally invasive techniques such as robotic assisted thoracoscopic ligation and TEVAR exclusion of diverticulum. Conclusion:Minimally invasive techniques can be used successfully in combination during the treatment of patients with vascular anomalies such as double aortic arches.

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