Back to 2025 Thoracic Abstracts
Robotic Approach To Resection Of An Aberrant Subclavian Artery
Berk Aykut, MD, John K. Cook, BS, John A. Kucera, MD, Seth E. Wolf, MD, Hiba Ghandour, MD, Michael Mansah-Mamfo, BS, Joseph W. Turek, MD PhD MBA, Kaitlin C. Bevers, MD, Douglas M. Overbey, MD MPH.
Duke University Medical Center, Durham, NC, USA.
BACKGROUND: We describe the case of a 29-year-old female with right aortic arch and Kommerell diverticulum, status post thoracic endovascular aortic repair, left-carotid-subclavian bypass, and extensive endovascular attempts at symptom alleviation with embolization of aberrant subclavian artery, describing persistent upper chest pain and dysphagia.
METHODS: We planned for robotic resection of this patient's aberrant subclavian artery to relieve her symptoms.
RESULTS: Following robotic access and lung adhesiolysis, the subclavian was visualized, dissected from the esophagus, and ligated distally and proximally. A vessel attachment that wrapped anteriorly and tethered the vessel, compressing the esophagus, likely the ligamentum arteriosus, was divided using the stapler. The remaining arterial stump was pexied posteriorly. Postoperative EGD was performed and revealed a more patent esophagus and a negative leak test.
CONCLUSIONS: This case demonstrates the feasibility of a robot-assisted vascular ring resection. In carefully selected patients, this technique can have excellent outcomes through a minimally invasive approach.
Back to 2025 Thoracic Abstracts
