Dysphagia aortica with left atrial compression

Al-Quthami, Adeeb; AlBloushi, Abdulrahman F; Alquthami, Ahmed H

doi:10.1177/1358863x14568445

Cited by 5 publications

(6 citation statements)

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“…El esofagograma, además de permitir localizar el tumor y ayudarnos sión esofágica y disfagia secundaria; estas se pueden dividir en congénitas (doble arco aórtico, arco aórtico derecho, arco aórtico cervical, divertículo de Kommerell, arteria subclavia aberrante, arteria pulmonar en cincha, ligamento arterioso), adquiridas (disección aórtica, escoliosis, crecimiento de la aurícula izquierda) o iatrogénicas (fistula aortoesofágica, disfagia posoperatoria) (21,22).…”

Section: Tumores Malignos De Esófagounclassified

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Esofagograma: imágenes que valen mas que mil palabras

Segura

Gómez

Meza

et al. 2017

Rev. Colomb. Gastroenterol.

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ResumenEl estudio de las enfermedades esofágicas requiere de múltiples exámenes diagnósticos, ya que ninguno, por sí solo, provee total información sobre la funcionalidad y la anatomía del tracto digestivo superior. Para los cirujanos generales y gastrointestinales, el esofagograma constituye una herramienta esencial que, además de sugerir un diagnóstico, ofrece una idea de la anatomía del órgano y nos permite esbozar un mapa de fácil evaluación (sin la necesidad de un radiólogo), para establecer o definir un plan quirúrgico. El objetivo del presente artículo es mostrar al lector la utilidad del esofagograma en centros de referencia en el estudio y el tratamiento de las enfermedades esofágicas, así como su representación en algunas enfermedades frecuentes. Palabras clavesEsófago, enfermedades del esófago, neoplasias esofágicas, esofagograma. AbstractThe study of esophageal diseases requires multiple diagnostic tests since no one test alone can provide full information on upper digestive tract anatomy and functionality. For general surgeons and gastrointestinal surgeons, the esophagogram is an essential tool that can suggest a diagnosis while simultaneously providing an idea of the anatomy of the organ and outlining an easily evaluated map without the need of a radiologist. This information can be used to establish a surgical plan. The aim of this article is to show readers the usefulness of esophagograms at referral centers for study and treatment of esophageal diseases while providing representations of several frequent diseases. KeywordsEsophagus, diseases of the esophagus, esophageal neoplasms, esophagogram.Revisión de tema DOI: https://doi.org/10.22516/25007440.157 INTRODUCCIÓNEl estudio de las enfermedades del esófago requiere de múltiples ayudas diagnósticas que aporten, dependiendo de la enfermedad, información sobre su funcionalidad o anatomía. El esofagograma es un estudio radiológico diná-mico del tracto digestivo superior que utiliza un medio de contraste y aire (doble contraste) y permite realizar una aproximación diagnóstica de anomalías estructurales y funcionales del esófago. Para los cirujanos generales y gastrointestinales, este estudio -cada vez más en desuso-es un instrumento esencial que nos acerca al diagnóstico y planeación de un tratamiento quirúrgico.El objetivo del presente artículo es mostrar la utilidad del esofagograma en centros de referencia en el estudio y el tratamiento de las enfermedades esofágicas, así como su

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Section: Tumores Malignos De Esófagounclassified

“…Cuando el crecimiento de la aurícula es secundario a una valvulopatía mitral reumática y a parálisis del nervio laríngeo recurrente izquierdo, se conoce como síndrome de Ortner o disfagia cardiovocal (21)(22)(23) (Figura 8).…”

Section: Tumores Malignos De Esófagounclassified

Esofagograma: imágenes que valen mas que mil palabras

Segura

Gómez

Meza

et al. 2017

Rev. Colomb. Gastroenterol.

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“…[1][2][3][4][5] Etiology assessment is crucial to choose the appropriate treatment, particularly in patients hemodynamically unstable with severe symptoms. [1][2][3][4][5] Etiology assessment is crucial to choose the appropriate treatment, particularly in patients hemodynamically unstable with severe symptoms.…”

Section: Elac Is a Rare Clinical Conditionmentioning

confidence: 99%

“…As described in the literature, extracardiac causes are frequently involved in the genesis of ELAC. [1][2][3][4][5] Etiology assessment is crucial to choose the appropriate treatment, particularly in patients hemodynamically unstable with severe symptoms.…”

Section: Elac Is a Rare Clinical Conditionmentioning

confidence: 99%

“…E xtrinsic left atrial compression (ELAC) is a rare echocardiographic finding with various clinical presentations. [1][2][3][4][5] We report a case where left atrial compression was identified in an emergency patient presenting with acute heart failure. The cause of this compression was identified and removed, which resulted in a dramatic clinical improvement.…”

Section: Introductionmentioning

confidence: 99%

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Left atrial compression with acute heart failure caused by esophageal bolus

Maffè

Paino

Paffoni

et al. 2017

J of Clinical Ultrasound

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We report a case of left atrial extrinsic compression caused by an esophageal food bolus in a patient presenting with acute heart failure. Transthoracic echocardiography along with contrast-enhanced CT showed evidence of esophageal dilation producing left atrial compression. Esophageal endoscopy and fragmentation of the bolus, allowing the accumulated food to descend into the stomach, produced a rapid improvement of hemodynamic and clinical status. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46:259-261, 2018.

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Dysphagia aortica

et al. 2021

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Summary Background Dysphagia aortica is an umbrella term to describe swallowing obstruction from external aortic compression secondary to a dilated, tortuous, or aneurysmal aorta. We performed a systematic literature review to clarify clinical features and outcomes of patients with dysphagia aortica. Materials and methods We searched PubMed, EMBASE, Web of Science, and the Cochrane Library. The terms “aortic dysphagia,” “dysphagia aortica,” “dysphagia AND aortic aneurysm” were matched. We also queried the prospectively updated database of our esophageal center to identify patients with aortic dysphagia referred for diagnosis and treatment over the past two decades. Results A total of 57 studies including 69 patients diagnosed with dysphagia aortica were identified, and one patient from our center was added to the database. The mean age was 72 years (range 22–98), and the male to female ratio 1.1:1. Of these 70 patients, the majority (n = 63, 90%) had an aortic aneurysm, pseudoaneurysm, or dissection. Overall, 37 (53%) patients received an operative treatment (81.1% a vascular procedure, 13.5% a digestive tract procedure, 5.4% both procedures). Thoracic endovascular aortic repair (TEVAR) accounted for 60% of all vascular procedures. The postoperative mortality rate was 21.2% (n = 7/33). The mortality rate among patients treated conservatively was 55% (n = 11/20). Twenty-six (45.6%) studies were deemed at a high risk of bias. Conclusion Dysphagia aortica is a rare clinical entity with high morbidity and mortality rates and no standardized management. Early recognition of dysphagia and a high suspicion of aortoesophageal fistula may be lifesaving in this patient population.

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Dysphagia aortica with left atrial compression

Cited by 5 publications

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Esofagograma: imágenes que valen mas que mil palabras

Esofagograma: imágenes que valen mas que mil palabras

Left atrial compression with acute heart failure caused by esophageal bolus

Dysphagia aortica

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