Related Experiment Videos
Saccular descending thoracic aortic aneurysm with dysphagia
H Furukawa1, K Tsuchiya, H Osawa
1Department of Cardiovascular Surgery, Yamanashi Prefectural Central Hospital, Japan.
The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyobu Geka Gakkai Zasshi
|August 3, 1999
Summary
This case report details a rare instance of a saccular descending thoracic aortic aneurysm causing severe dysphagia in a 76-year-old woman. Surgical graft replacement successfully relieved her swallowing difficulties.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- Saccular descending thoracic aortic aneurysms are rare vascular conditions.
- Dysphagia can be an unusual presenting symptom of thoracic aortic aneurysms.
Observation:
- A 76-year-old woman presented with 8 months of chest pain, back pain, and severe dysphagia.
- Imaging revealed a saccular descending thoracic aortic aneurysm compressing the esophagus.
Findings:
- Surgical graft replacement of the aneurysm was performed using a Hemashield prosthetic graft.
- The patient experienced dramatic improvement in dysphagia post-operation.
- A significant pleural effusion developed three weeks after surgery.
Implications:
- This case highlights the importance of considering aortic aneurysms in the differential diagnosis of dysphagia.
- Successful surgical intervention can resolve dysphagia caused by aortic compression.
- Management of descending thoracic aortic aneurysms requires careful surgical planning and postoperative monitoring.