Thoracoscopic double aortic arch division with Harmonic scalpel: A case report

Abstract

double aortic arch incidentally found during the course of a thoracoscopic repair of a type III esophageal atresia was successfully repaired by dividing the nondominant arch with the Harmonic scalpel device (Ultrashears, Autosonix Ultrasonic System; Tyco Healthcare, Mansfield, Mass) on day 1 after birth. The association of double aortic arch and esophageal atresia has been reported many times in the literature 1 and has important implications, because a proper esophageal reconstruction can be achieved only after the vascular anomaly has been corrected.

Strategies for blood conservation in pediatric cardiac surgery

“…One case of the surgical division of a double aortic arch in a 2.0 kg child using harmonic scalpel has been reported. [ 74 ]…”