Preprint Interesting Images Version 1 Preserved in Portico This version is not peer-reviewed

Vascular Ring Surgical Repair: Re-implantation of the Left Subclavian Artery into the Left Carotid Artery in a Pediatric Patient.

Version 1 : Received: 24 June 2024 / Approved: 25 June 2024 / Online: 26 June 2024 (00:01:59 CEST)

How to cite: Rodríguez Brilla, M. A.; Kausen, K. D.; Ali, A. T.; Paudel, G.; Bautista-Hernandez, V. Vascular Ring Surgical Repair: Re-implantation of the Left Subclavian Artery into the Left Carotid Artery in a Pediatric Patient.. Preprints 2024, 2024061771. https://doi.org/10.20944/preprints202406.1771.v1 Rodríguez Brilla, M. A.; Kausen, K. D.; Ali, A. T.; Paudel, G.; Bautista-Hernandez, V. Vascular Ring Surgical Repair: Re-implantation of the Left Subclavian Artery into the Left Carotid Artery in a Pediatric Patient.. Preprints 2024, 2024061771. https://doi.org/10.20944/preprints202406.1771.v1

Abstract

Vascular rings are a rare congenital anomaly of the aortic arch in which a ring-shaped structure forms surrounding the trachea and/or esophagus, potentially causing compression. We describe the case of a 14-month-old female patient with failure to thrive secondary to dysphagia, and a vascular ring formed by a right aortic arch, an aberrant left subclavian artery, and a left liga-mentum arteriosum. Surgical repair involved ligamentum arteriosum division, Kommerell’s di-verticulum obliteration, and left subclavian artery re-implantation into the left carotid artery. Endoscopy and EndoFLIPTM evaluated intraoperative improvement in esophageal narrowing and impedance, respectively. Postoperative period was uneventful and follow-up visits demonstrated dysphagia resolution and a patent re-implanted left subclavian artery.

Keywords

Vascular ring repair; Kommerell’s diverticulum; EndoFLIPTM technology; Aberrant subclavian artery re-implantation

Subject

Medicine and Pharmacology, Surgery

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