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Related Concept Videos

Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

Aneurysm II: Clinical Manifestations and Diagnostic Studies

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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...
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Aneurysm I: Introduction01:30

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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...
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Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

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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...
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Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

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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...
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Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Deglutition01:25

Deglutition

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Swallowing, otherwise known as deglutition, facilitates the transport of food from the mouth to the stomach. It is a multifaceted process that involves both the tongue and the muscles of the throat and esophagus. Saliva and mucus aid in this process, which takes approximately 4 to 8 seconds for semi-solid or solid food and around 1 second for liquids or very soft food.
Swallowing can be divided into three stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. Although the...
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Updated: Jul 25, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
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Aortic Aneurysm Presenting As Deglutition Syncope.

Fahmi Shibli1, Yeseong Kim2, Ronnie Fass3

  • 1Gastroenterology, Emek Medical Center, Afula, ISR.

Cureus
|June 28, 2023
PubMed
Summary
This summary is machine-generated.

Deglutitive syncope, triggered by swallowing, can rarely be caused by thoracic aortic aneurysms. This case highlights dysphagia aortica as a potential cause of swallowing-induced syncope.

Keywords:
aortic aneurysmbarium esophagramdeglututive syncopesyncopevasovagal reflex

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Area of Science:

  • Cardiology
  • Neurology
  • Gastroenterology

Background:

  • Deglutitive syncope is a neurally mediated event causing loss of consciousness during or after swallowing.
  • Causes are diverse, including intraluminal and extra-esophageal compression.
  • Thoracic aortic aneurysms can compress adjacent structures.

Observation:

  • A rare case of deglutitive syncope was investigated.
  • The patient experienced syncope associated with swallowing.
  • Diagnostic evaluation revealed a thoracic aortic aneurysm.

Findings:

  • The thoracic aortic aneurysm was identified as the cause of proximal esophageal compression.
  • This compression led to the neurally mediated deglutitive syncope.
  • The condition is referred to as dysphagia aortica in medical literature.

Implications:

  • This case underscores the importance of considering vascular compression, specifically thoracic aortic aneurysms, in the differential diagnosis of deglutitive syncope.
  • Accurate diagnosis of dysphagia aortica is crucial for appropriate management and prevention of syncope.
  • Highlights the interplay between cardiovascular and neurological/gastrointestinal systems.