{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T23:35:39Z","timestamp":1768433739050,"version":"3.49.0"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2014,10,10]],"date-time":"2014-10-10T00:00:00Z","timestamp":1412899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2015,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Right-sided aortic arch with aberrant left subclavian artery and ligamentum arteriosum, after double aortic arch, is the second most common complete vascular ring. It was traditionally treated by open surgical thoracotomy and recently video assisted thoracoscopic surgery (VATS) has been used in some cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Presentation of case<\/jats:title>\n                    <jats:p>We describe the cases of two infants who presented with gastroesophageal reflux, dyspnea, dysphagia secondary to aneurysmal dilatation of the retroesophageal arch confirmed by imaging data. VATS procedure was performed through a left thoracoscopic approach. Ligamentum arteriosus compressed esophagus was clipped, sectioned and then released the esophagus in one case; also, In the second case, we clipped and sectioned aorta, distal to the origin of aberrant left subclavian artery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>CT angiography and MRI are known to be the most effective available imaging methods for vascular ring detection. Also, there are several surgical approaches to vascular rings such as, thoracotomy and thoracoscopy. There is a large body of evidence confirming the safety, efficacy and convenience of VATS as a therapeutic option for congenital heart disease including right-sided aortic arch and aberrant left subclavian artery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>VATS is a less invasive and safe strategy for management of right-sided aortic arch with aberrant left subclavian artery and ligamentum arteriosum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2014.10.013","type":"journal-article","created":{"date-parts":[[2014,12,11]],"date-time":"2014-12-11T14:47:58Z","timestamp":1418309278000},"page":"188-190","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Video assisted thoracoscopic surgery cases with right-sided aortic arch aneurysm and complete vascular ring"],"prefix":"10.1097","volume":"6","author":[{"given":"Mohammad Hassan","family":"Nezafati","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pouya","family":"Nezafati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R2-54-20260114","doi-asserted-by":"crossref","first-page":"e3","DOI":"10.1016\/j.athoracsur.2006.10.045","article-title":"Total arch replacement for a distal aortic arch aneurysm with right aortic arch","volume":"83","author":"Kiokawa","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"R3-54-20260114","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1111\/j.1540-8191.1993.tb00409.x","article-title":"Video-assisted thoracoscopic division of a vascular ring in an infant: a new operative technique","volume":"8","author":"Burke","year":"1993","journal-title":"J Cardiac Surg"},{"key":"R4-54-20260114","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1111\/j.1747-0803.2007.00086.x","article-title":"Video-assisted thoracoscopic surgery: is it a superior technique for the division of vascular rings in children?","volume":"2","author":"Kogon","year":"2007","journal-title":"Congenit Heart Dis"},{"key":"R5-54-20260114","doi-asserted-by":"crossref","first-page":"1343","DOI":"10.1016\/j.athoracsur.2007.04.077","article-title":"Video-assisted ductal closure with new modifications: minimally invasive, maximally effective, 1,300 cases","volume":"84","author":"Nezafati","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"R6-54-20260114","first-page":"1","article-title":"The roentgen diagnosis of double aortic arch and other anomalies of the great vessels","volume":"55","author":"Neuhauser","year":"1946","journal-title":"Am J Roentgenol Radium 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Surg"},{"key":"R10-54-20260114","doi-asserted-by":"crossref","first-page":"1163","DOI":"10.1067\/mtc.2003.52","article-title":"Robotically assisted division of a vascular ring in children","volume":"125","author":"Mihaljevic","year":"2003","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R11-54-20260114","first-page":"563","article-title":"Video-assisted thoracoscopic surgery for the treatment of congenital cardiac defects in the pediatric population","volume":"82","author":"Lavoie","year":"1996","journal-title":"Anesth Analg"}],"container-title":["International Journal of Surgery Case 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report"],"short-title":[],"issued":{"date-parts":[[2015,1]]},"references-count":10,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2015]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2014.10.013","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2015,1]]}}}