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Updated: Nov 26, 2025

Left Atrial Stenosis Induced Pulmonary Venous Arterialization and Group 2 Pulmonary Hypertension in Rat
Published on: November 18, 2018
Esophageal compression by a common left pulmonary venous trunk.
Daniel Z Mogel1, Donald P Kotler2, Mark Guelfguat3
1New York Institute of Technology College of Osteopathic Medicine, 101 Northern Boulevard, Glen Head, NY 11545, United States.
Dysphagia can stem from esophageal compression. Advanced imaging revealed a rare cause: a large left common pulmonary vein compressing the esophagus in a patient with swallowing difficulties.
Area of Science:
- Cardiology
- Gastroenterology
- Radiology
Background:
- Dysphagia is a common symptom with various causes, including esophageal narrowing.
- Vascular compression of the esophagus is a known, though less common, etiology.
- Previous reports of pulmonary venous esophageal compression are scarce and dated, limited by older imaging technology.
Observation:
- A patient presented with dysphagia, a symptom indicating difficulty swallowing.
- Initial assessments suggested potential esophageal luminal narrowing.
- Advanced imaging techniques were employed for detailed anatomical evaluation.
Findings:
- CT-angiography, multiplanar reconstructions, and 3D imaging were utilized.
- These advanced techniques clearly demonstrated esophageal compression.
- The compression was definitively attributed to an enlarged left common pulmonary vein.
Implications:
- This case highlights a rare cause of dysphagia due to pulmonary venous anomaly.
- Advanced imaging is crucial for diagnosing such uncommon vascular compressions.
- Understanding this etiology can improve diagnostic accuracy for dysphagia patients.
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