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Related Concept Videos

Esophageal Achalasia01:27

Esophageal Achalasia

Esophageal achalasia is a chronic neurogenic disorder characterized by impaired relaxation of the lower esophageal sphincter (LES) and absent or ineffective peristalsis in the distal esophagus. This leads to a functional obstruction without a physical blockage, despite significant disruption of esophageal motility.EtiologyAchalasia is caused by degeneration of the myenteric (Auerbach's) plexus, specifically the loss of inhibitory ganglion cells that produce vasoactive intestinal peptide (VIP)...
Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aneurysm I: Introduction01:30

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...

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Related Experiment Video

Updated: Jun 25, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
11:19

Robotic Myotomy and Partial Fundoplication for Achalasia

Published on: August 11, 2023

Dysphagia aortica.

Biswakes Majumder1, Ashutosh Kumar, Pankaj Ranjan

  • 1Institute of Cardiovascular Sciences, IPGME&R, Kolkata.

Indian Heart Journal
|March 12, 2009
PubMed
Summary
This summary is machine-generated.

Dysphagia (difficulty swallowing) can signal a thoracic aortic aneurysm, a rare but serious condition. Early diagnosis of this aortic aneurysm is crucial for timely treatment and preventing fatal rupture.

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Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

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Last Updated: Jun 25, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
11:19

Robotic Myotomy and Partial Fundoplication for Achalasia

Published on: August 11, 2023

Multimodality Diagnosis of Mesenteric Ischemia
05:07

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

Area of Science:

  • Cardiology
  • Gastroenterology
  • Radiology

Background:

  • Thoracic aortic aneurysms (TAAs) are uncommon causes of extrinsic esophageal compression.
  • Dysphagia aortica, a rare symptom of TAAs, typically presents late in the disease course.
  • The differential diagnosis for dysphagia often overlooks aortic abnormalities.

Observation:

  • A 31-year-old male presented with intermittent chest pain, backache, and dysphagia.
  • Initial chest X-ray revealed a dilated descending aorta.
  • Further investigation identified a thoracic-abdominal aortic aneurysm compressing the esophagus.

Findings:

  • The patient's symptoms were attributed to extrinsic esophageal compression by a thoracic-abdominal aortic aneurysm.
  • This case highlights a younger patient presenting with a late-stage TAA symptom.
  • Diagnostic imaging confirmed the aneurysm's significant size and esophageal impingement.

Implications:

  • Thoracic aortic aneurysms should be considered in patients with unexplained dysphagia, chest, and back pain.
  • Timely diagnosis and treatment of TAAs are essential to prevent rupture and mortality.
  • Integrating cardiological and radiological evaluations can improve diagnostic yield for rare TAA presentations.