Treatment of Dysphagia Lusoria with Supraclavicular Incision in Children: Aberrant Right Subclavian Artery

Year 2019, Volume: 13 Issue: 6, 492 - 495, 23.12.2019

Ufuk Ateş

https://doi.org/10.12956/tchd.562342

Abstract

Aberrant right subclavian artery (ARSA) is a rare (0.5-1.8% of the population), usually asymptomatic congenital

anomaly. We report the three female patients who were successfully treated by surgery of supraclavicular incision. The

median age at the operation time was 15 years old (range: 10-18 years). There were no peroperative and postoperative

complication. Ulnar and radial tensions were bilaterally normal rate after surgery. There were no difficulties after the

postoperative feeding. It may be suggested that end to side anastomosis of ARSA to carotid artery via supraclavicular

incision is a feasible and minimal invasive method for children with dysphagia lusoria.

Çocuklarda Supraklavi̇küler İnsi̇zyon İle Di̇sfaji̇ Lusori̇a Tedavi̇si̇: Sağ Aberran Subclavi̇a

Abstract

Sağ aberrant subclavian arter (ARSA), nadir görülen ve genellikle asemptomatik seyreden konjenital bir anomalidir (populasyonun %0.5-1.8’i). Bu çalışmada supraklavikular insizyon ile başarılı bir şekilde tedavi edilen üç kız hastanın sunulması amaçlandı. Ameliyat sırasında ortanca yaş 15’di (aralık: 10-18 yaş). Ameliyat sırasında ve sonrasında komplikasyon izlenmedi. Bilateral ulnar ve radyal pulsasyonları ameliyat sonrası normaldi. Ameliyat sonrasında beslenme ile ilgili problem gözlenmedi. Supraklaviküler insizyon ile ARSA’ nın uç yan anastomozu, disfaji lusoriası olan çocuklar için uygulanabilir ve minimal invaziv bir yöntem olarak düşünülmelidir.

Keywords

Aberran sağ subklavian arter, Disfaji lusoria

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