Objective To summarize the treatment results of double aortic arch (DAA) by minimally invasive surgical technique. Methods We retrospectively analyzed the clinical data of DAA patients who underwent minimally invasive surgeries in our center between October 2016 and August 2021. Results There were 11 males and 4 females with a mean age of 3-61 (20.00±18.80) years. There were 8 patients of DAA and 7 patients of DAA complicated with distal left-sided aortic arch atresia and ligamentum connection. All patients received operations through minimal subaxillary incision, 13 patients were through left side and 2 patients were through right side. One patient with ventricular septal defect was performed operations concurrently under the cardiopulmonary bypass through right minimal subaxillary incision. All patients had symptom improvement without surgery related complications or death in postoperative period. The duration of operation was 30-192 (61.93±40.19) min and mechanical ventilation time was 2-9 (5.33±2.53) h. The length of ICU stay was 18-124 (51.00±38.07) h and hospital stay time was 8-21 (12.67±3.42) d. All patients had symptomatic relief with good growth and exercise tolerance during the follow-up of 6 (3, 9) months. Conclusion Minimally invasive surgical technique is a safe, effective and cosmetic approach with good results for DAA treatment.
Citation：
LIU Qi, WANG Shan, LI Shoujun, HUA Zhongdong. Minimally invasive surgical technique for the treatment of congenital double aortic arch. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(10): 1429-1432. doi: 10.7507/1007-4848.202203011
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Copyright © the editorial department of Chinese Journal of Clinical Thoracic and Cardiovascular Surgery of West China Medical Publisher. All rights reserved
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- 1. Achiron R, Rotstein Z, Heggesh J, et al. Anomalies of the fetal aortic arch: A novel sonographic approach to in-utero diagnosis. Ultrasound Obstet Gynecol, 2002, 20(6): 553-537.
- 2. Rita B, Simone S, Stefano B. Vascular ring due to double aortic arch: A rare cause of dysphagia. Eur J Radiol, 2004, 52: 21-24.
- 3. Herrin MA, Zurakowski D, Fynn-Thompson F, et al. Outcomes following thoracotomy or thoracoscopic vascular ring division in children and young adults. J Thorac Cardiovasc Surg, 2017, 154(2): 607-615.
- 4. Edwards JE. Malformation of the aortic arch system manifested as vascular rings. Lab Invest, 1953, 2: 56-75.
- 5. Safa N, Wei S, Saran N, et al. Musculoskeletal deformities after thoracic surgery in children: An observational long-term follow-up study. J Pediatr Surg, 2021, 56(1): 136-141.
- 6. Nezafati MH, Nezafati P. Video assisted thoracoscopic surgery cases with right-sided aortic arch aneurysm and complete vascular ring: Case report. Int J Surg Case Rep, 2015, 6C: 188-190.
- 7. Kogon BE, Forbess JM, Wulkan ML, et al. Video-assisted thoracoscopic surgery: Is it a superior technique for the division of vascular rings in children? Congenit Heart Dis, 2007, 2(2): 130-133.
- 8. An K, Li S, Yan J, et al. Minimal right vertical infra-axillary incision for repair of congenital heart defects. Ann Thorac Surg, 2022, 113(3): 896-902.
- 9. Boogaard R, Huijsmans SH, Pijnenburg MW, et al. Tracheomalacia and bronchomalacia in children: Incidence and patient characteristics. Chest, 2005, 128(5): 3391-3397.
