Intraoperative presence of right aortic arch in repair of esophageal atresia with tracheoesophageal fistula, Technique of repair through right thoracotomy versus left thoracotomy
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2016, Vol 4, Issue 5
Abstract
Congenital trachea esophageal fistula account for a significant proportion of neonatal surgical emergency admissions. The repair of these patients who also have a right aortic arch remains controversial. A retrospective study of congenital tracheoesophageal fistula patients with right aortic arch between 2010 and 2014 was conducted. We attempted to compare the surgical technique in these patients between right and left thoracotomy. Left sided thoracotomy is better for dealing with patients of right aortic arch as it gives better exposure and results. Left thoracotomy should be considered as the standard approach in these patients if a pre operative diagnosis of additional right aortic arch can be made in these patients of trachea esophageal fistula. Keywords: Right aortic arch, tracheo esophageal fistula, thoracotomy
Authors and Affiliations
Gupta Shilpi, Dr Singh Srikesh
Keywords
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