| A Case of Esophageal Stenosis
with Descending Aortic Elongation (Dysphagia Aortica) |
(Department of Cardiovascular Surgery, Kyoto First
Red Cross Hospital, Kyoto, Japan)
| Osamu Sakai |
Yuichiro Murayama |
Satoshi Numata |
| Keitaro Koushi |
Akiteru Nakamura |
|
|
We report a case of dysphagia caused
by compression of the esophagus by the nonaneurysmal tortuous
descending aorta (dysphagia aortica). A 69-year-old woman was
admitted suffering from dysphagia. Esophagoscopy showed esophageal
stenosis caused by pulsatile and extramural compression. Esophagography
and aortograms also showed that the nonaneurysmal tortuous descending
aorta compressed the esophagus in an anteromedian direction.
To avoid the esophageal ulcer and the aortoesophageal fistula,
resection of the tortuous aorta and a Dacron graft replacement
was performed. After operation compression of the esophagus was
released and her complaint improved.
Jpn. J. Cardiovasc. Surg. 34: 134-136 (2005) |
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