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Related Experiment Videos

Saccular aortic aneurysm causing complete distal esophageal obstruction

R C Mayer1, E Frank

  • 1Department of Medicine, Jersey Shore Medical Center, Neptune, NJ 07754.

Southern Medical Journal
|December 1, 1993
PubMed
Summary

A rare case of progressive dysphagia was caused by a saccular aortic aneurysm leading to complete esophageal occlusion. This condition, often fatal, highlights the need for prompt diagnosis and surgical repair of aortic aneurysms.

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Area of Science:

  • Cardiology
  • Gastroenterology
  • Vascular Surgery

Background:

  • Dysphagia is a common symptom with a broad differential diagnosis.
  • Saccular thoracic aortic aneurysms are rare vascular conditions.
  • Esophageal compression by aortic pathology is an uncommon presentation.

Observation:

  • A patient presented with progressive dysphagia and was diagnosed with complete esophageal occlusion.
  • Imaging revealed a saccular thoracic aortic aneurysm compressing the esophagus.
  • This represents a rare and potentially fatal complication of aortic aneurysm.

Findings:

  • The saccular aortic aneurysm was the direct cause of esophageal occlusion.
  • Complete esophageal occlusion due to aortic aneurysm is a rare, late-stage manifestation.

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  • Previous reported cases indicate a high mortality rate.

    • Implications:

    • Aortic aneurysm should be considered in the differential diagnosis of unexplained dysphagia.
    • Early diagnosis and surgical intervention for aortic aneurysms causing esophageal compression are crucial.
    • This case underscores the importance of prompt diagnosis and treatment in managing rare aortic pathologies.