TREATMENT OF PATIENTS WITH ESOPHAGEAL ATRESIA AND RIGHT AORTIC ARCH

Yu. A. Kozlov; Козлов Ю. А.; V. A. Novozhilov; Новожилов В. А.; I. N. Veber; Вебер И. Н.; A. A. Rasputin; Распутин А. А.; K. A. Kovalkov; Ковальков К. А.; D. M. Chubko; Чубко Д. М.; P. Zh. Baradieva; Барадиева П. Ж.; D. A. Zvonkov; Звонков Д. А.; A. D. Timofeev; Тимофеев А. Д.; Ch. B. Ochirov; Очиров Ч. Б.; N. V. Rasputina; Распутина Н. В.; G. P. Us; Ус Г. П.; N. N. Kuznetsova; Кузнецова Н. Н.; M. I. Kononenko; Кононенко М. И.

doi:10.18821/1560-9510-2018-22-2-96-98

TREATMENT OF PATIENTS WITH ESOPHAGEAL ATRESIA AND RIGHT AORTIC ARCH

Authors: Kozlov Y.A.¹^,2^,3, Novozhilov V.A.¹^,2^,3, Veber I.N.³, Rasputin A.A.¹, Kovalkov K.A.⁴, Chubko D.M.⁵, Baradieva P.Z.¹, Zvonkov D.A.³, Timofeev A.D.³, Ochirov C.B.¹, Rasputina N.V.¹, Us G.P.¹, Kuznetsova N.N.¹, Kononenko M.I.¹
Affiliations:
1. Ivano-Matreninskaya Children’s Clinical Hospital
2. Irkutsk State Medical Academy of Postgraduate Education - Branch Campus of the Russian Medical Academy of Continuing Professional Education
3. Irkutsk State Medical University
4. Regional Children Clinical Hospital
5. Regional Children Hospital
Issue: Vol 22, No 2 (2018)
Pages: 96-98
Section: REVIEWS
Submitted: 04.03.2021
Published: 04.04.2018
URL: https://jps-nmp.ru/jour/article/view/36
DOI: https://doi.org/10.18821/1560-9510-2018-22-2-96-98
ID: 36

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Abstract

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.

Keywords

esophageal atresia, right aortic arch, newborn

References

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TREATMENT OF PATIENTS WITH ESOPHAGEAL ATRESIA AND RIGHT AORTIC ARCH

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Abstract

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About the authors

References

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