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[Non-aneurysmatic aortic dysphagia].

P Rivera1, L Ferrer, J A Tuset

  • 1Servicio de Aparato Digestivo, Hospital General Universitario, Valencia.

Gastroenterologia Y Hepatologia
|October 27, 1999
PubMed
Summary
This summary is machine-generated.

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Aortic elongation can cause severe dysphagia (difficulty swallowing) in elderly individuals. Prompt diagnosis and heart failure management led to symptom resolution in a 73-year-old woman.

Area of Science:

  • Cardiology
  • Gastroenterology
  • Vascular Surgery

Background:

  • Dysphagia is difficulty swallowing, often caused by esophageal compression.
  • Vascular compression of the esophagus is rare, with aberrant right subclavian artery being the most common congenital cause.
  • Aortic dysphagia typically affects the elderly, particularly women with hypertension, cardiopathy, and degenerative osteopathy.

Observation:

  • A 73-year-old woman presented with progressive dysphagia, escalating to aphagia (inability to swallow).
  • Her symptoms were associated with heart failure.
  • The dysphagia was attributed to a non-aneurysmatic aortic elongation.

Findings:

  • The case highlights a non-aneurysmatic aortic elongation as a cause of severe dysphagia and aphagia.

Related Experiment Videos

  • Diagnostic approaches for vascular esophageal compression were considered.
  • The patient experienced resolution of dysphagia after treatment for heart failure.

    • Implications:

    • This case underscores the importance of considering aortic abnormalities in the differential diagnosis of dysphagia in the elderly.
    • Effective management of associated conditions, such as heart failure, can lead to significant clinical improvement.
    • Persistent manometric alterations suggest underlying physiological changes that warrant continued monitoring.