Mediastinoscopy-assisted ligation of an aberrant right subclavian artery through a supraclavicular approach Narain Moorjani, MD, FRCS, Nancy Mohsen,

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Presentation transcript:

Mediastinoscopy-assisted ligation of an aberrant right subclavian artery through a supraclavicular approach Narain Moorjani, MD, FRCS, Nancy Mohsen, MD, Percy Boateng, MD The Journal of Thoracic and Cardiovascular Surgery Volume 140, Issue 1, Pages e20-e21 (July 2010) DOI: 10.1016/j.jtcvs.2009.06.026 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Preoperative double-contrast barium esophagram demonstrating extrinsic esophageal compression (arrow). B, Preoperative 3-dimensional computed tomographic reconstruction demonstrating an aberrant right subclavian artery (RSCA; arrow) originating distal to the left subclavian artery (LSCA), with a retromediastinal course causing esophageal compression. A common origin of the left and right common carotid arteries (truncus bicaroticus [TBC]) from the aortic arch is also observed. C and D, Operative images demonstrating the use of a mediastinoscope to aid visualization and lighting to gain access to the proximal aberrant right subclavian artery at its origin from the aortic arch (C) and completed right subclavian (RSCA)–right common carotid artery (RCCA) bypass (D). E and F, Postoperative 3-dimensional computed tomographic reconstruction demonstrating patent right subclavian–common carotid artery bypass (E) and a ligated aberrant subclavian artery on the distal aortic arch (F). The Journal of Thoracic and Cardiovascular Surgery 2010 140, e20-e21DOI: (10.1016/j.jtcvs.2009.06.026) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions