AIM OF THE STUDY: The management of newborns with @entity1152 ( @entity1152 ) and right aortic arch (RAA) is still an unsolved problem. This study provides a systematic review of epidemiology, diagnosis, management and short-term results of @entity1 with @entity1152 and RAA. MATERIALS AND METHODS: The PubMed database was searched for original studies on @entity1 with @entity1152 and RAA. In each study, data were extracted for the following outcomes: number of @entity1 , associated anomalies, type of surgical repair, morbidity and mortality rate. RESULTS: Eight studies were selected, including 54 @entity1 with @entity1152 and RAA. RAA was encountered in 3.6% of @entity1 . Preoperative detection of RAA was reported in 7 of them. In these @entity1 , primary @entity254 was achieved through the right approach in 3 (thoracotomy in 2 and thoracoscopy in 1) while the left approach was the primary choice in 4 (thoracotomy in 2 and thoracoscopy in 2). No significant differences were found between the right and left approaches with regard to leaks (P=0.89), strictures (P=1) or mortality (P=1). In 47/54 @entity1 (87%) RAA was noted during right thoracotomy, and primary @entity254 was achieved through the same approach in 29 (61.7%); conversion to other approaches (left thoracotomy or esophageal substitution) was performed in 15 @entity1 (38.3%). No significant differences were found between primary left thoracotomy (LT) and LT after RT with regard to leaks (P=0.89), strictures (P=1) or mortality (P=1). CONCLUSIONS: Skills and preferences of the surgeon still guide the choice of surgical approach even when preoperatively faced with RAA. A multicenter, prospective randomized study is strongly required.

The management of newborns with XXXX and right aortic arch: A systematic review or still unsolved problem.

@entity1 :: ('9606', 'Species') :: ['children', 'patients', 'infants'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity1152 :: ('MESH:D004933', 'Disease') :: ['esophageal atresia', 'EA']
@entity1152 :: (MESH:D004933,Disease) :: ['esophageal atresia']
