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J Thorac Cardiovasc Surg 2003;125:1163-1164
© 2003 The American Association for Thoracic Surgery

Brief Communications

Robotically assisted division of a vascular ring in children

Tomislav Mihaljevic, MD, Jeremy W. Cannon, MD, Pedro J. del Nido, MD Boston, Mass

From the Department of Cardiovascular Surgery, Children's Hospital-Boston and Harvard Medical School, Boston, Mass.

Supported in part by National Institutes of Health grant F32 HL68404-01 (J.W.C.) and a Research Development Grant, Children's Hospital-Boston.

Received for publication July 17, 2002. Accepted for publication July 25, 2002. Address for reprints: Pedro J. del Nido, MD, Department of Cardiovascular Surgery, Children's Hospital-Boston, 300 Longwood Ave, Boston, MA 02115 (E-mail: pedro.delnido@tch.harvard.edu).

The first 20% of the full text of this article appears below.

Over the past decade, technical advances, including the evolution of thoracoscopic instruments and high-resolution cameras, have contributed to the widespread use of video-assisted thoracoscopic techniques in the pediatric population. Introduction of robotic surgical systems represents a further step in the evolution of endoscopic instrumentation. These computer-enhanced systems offer 3-dimensional visualization and significantly improved instrumentation, with motion scaling and a wrist mechanism that allow the performance of fine microsurgical tasks by using an endoscopic approach. These specific advantages make the use of this technology potentially beneficial for the treatment of pediatric patients. This report describes the use of a robotic surgical system for the division of a vascular ring in 2 patients.

Clinical summary

The first patient was a 10-year-old girl (height, 150 cm; weight, 48 kg) who presented with the complaint of recurrent vomiting; a barium swallow showed evidence of esophageal compression. The second patient was an 8-year-old girl (height, 120 cm; weights 27 kg) who presented with a history of recurrent upper respiratory tract infections and dysphagia. Chest magnetic resonance imaging in both patients confirmed the presence of a vascular ring comprised of a right-sided aortic arch, an aberrant left subclavian artery, and compression of the trachea and esophagus consistent with a left-sided ligamentum arteriosum. Institutional informed consent for . . . [Full Text of this Article]






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