嚥下障害ルソリアの二段階治療：大動脈解離術後の異常右鎖骨下動脈のロボット支援切除術

Two-step treatment of dysphagia lusoria: robotic-assisted resection of aberrant right subclavian artery following aortic debranching.

• Davide La Regina
• Giorgio Prouse
• Francesco Mongelli
• Ramon Pini

抄録

右鎖骨下動脈異常による重度の嚥下障害を呈した69歳女性を2段階のアプローチで治療した。右頸動脈-鎖骨下動脈バイパス術は2週間後にロボット支援胸腔鏡下手術で右鎖骨下動脈を切除した。術後の経過は問題なく、患者はすぐに嚥下障害から回復した。我々の症例では、ロボット支援技術は大きな利点を有しており、我々の経験に基づいて、この稀な疾患の治療に有用であると考えられる。

A 69-year-old female suffering from severe dysphagia due to an aberrant right subclavian artery was treated with a two-step approach. A right carotid-subclavian bypass was followed 2 weeks later by a robotic-assisted thoracoscopic resection of the aberrant right subclavian artery. The postoperative course was uneventful, and the patient immediately recovered from her dysphagia. In our case, the robotic-assisted technology offered major advantages and, based on our experience, may be useful in the treatment of this rare disease.

© The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.