Robot-assisted thoracoscopic surgery-assisted aberrant right subclavian artery transposition for dysphagia lusoria

Dysphagia lusoria is a rare esophageal compression syndrome related to aberrant right subclavian anatomy. Traditional surgical management often requires thoracotomy or sternotomy, whereas more contemporary approaches involve a hybrid approach with thoracic endovascular aortic repair and subclavian bypass or transposition. We present the case of a 44-year-old woman with hostile endovascular anatomy and progressive dysphagia to solids and liquids who underwent robot-assisted thoracoscopic surgery ligation of the proximal aberrant right subclavian artery with retro-esophageal pull-through and transposition to the right common carotid artery.