“…This term, rarely mentioned in gastroenterological textbooks, arises when the aorta pushes the esophagus anterolaterally and against the crural diaphragm [ 3 ]. The most feared complication is primary aortoesophageal fistula, typically following untreated TAA [ 4 ]. However, other causes of aortic dysphagia need to be addressed, namely aortic dissection, tortuous aorta, double aortic arch, or aortic pseudoaneurysm.…”