Right or left thoracotomy for esophageal atresia and right aortic arch? Systematic review and surgicoanatomic justification

Systematic review comparing right versus left thoracotomy approaches for esophageal atresia with tracheoesophageal fistula in patients with right aortic arch. Right thoracotomy showed unique anatomic complications including aortic injury and bleeding, while conversions from right to left approach had higher complication rates and more frequent staged repairs.