Multiple thoracic aortic aneurysms and dysphagia aortica

Godar, Mohit; Yuan, Qinghai; Zhang, Pengguo; Xu, Nannan; Liu, Jianhua

doi:10.1093/ehjci/jet056

Cited by 3 publications

(4 citation statements)

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“…Another was noted to have significantly improved dysphagia at 9 months, whereas one patient had only residual mild dysphagia at 2-month follow-up 8 , 9 . Improvement of symptoms correlated with sac regression and decrease in esophageal compression 8 , 9 . This association was seen with our patient as well.…”

Section: Discussionsupporting

confidence: 77%

“…One patient had moderate symptomatic relief at 6 months, and her dysphagia to liquids, although not solids, had resolved 7 . Another was noted to have significantly improved dysphagia at 9 months, whereas one patient had only residual mild dysphagia at 2-month follow-up 8 , 9 . Improvement of symptoms correlated with sac regression and decrease in esophageal compression 8 , 9 .…”

Section: Discussionmentioning

confidence: 90%

“…The most dramatic improvement was seen in a patient who underwent esophageal stenting in addition to TEVAR, which resulted in immediate tolerance of a solid diet 6 . Good symptomatic improvement, although more gradual, has been noted in patients treated only with TEVAR 7, 8, 9. One patient had moderate symptomatic relief at 6 months, and her dysphagia to liquids, although not solids, had resolved 7 .…”

Section: Discussionmentioning

confidence: 96%

“…Thirty-five cases were due to thoracoabdominal aneurysms, and eight of these were treated endovascularly (Table). Of these eight cases, four patients were reported to have at least a partial improvement of dysphagia 6, 7, 8, 9. The most dramatic improvement was seen in a patient who underwent esophageal stenting in addition to TEVAR, which resulted in immediate tolerance of a solid diet 6 .…”

Section: Discussionmentioning

confidence: 99%

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Dysphagia aortica secondary to thoracoabdominal aortic aneurysm resolved after endograft placement

Choi

Yang

Gagnon

2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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Dysphagia aortica is a rare entity defined as difficulty in swallowing due to external compression by the aorta. Aneurysmal dysphagia aortica successfully treated with thoracic endovascular aortic repair (TEVAR) is exceedingly rare. We report the case of a 74-year-old woman with known thoracoabdominal aneurysm who presented with acute shortness of breath and 3-month history of dysphagia. Computed tomography angiography revealed aneurysmal growth and massive esophageal dilation. She underwent TEVAR and visceral debranching, which led to complete symptom resolution correlated with sac regression. We also present a comprehensive review of the literature with a focus on cases of aneurysmal dysphagia aortica treated with TEVAR.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Dysphagia aortica secondary to thoracoabdominal aortic aneurysm resolved after endograft placement

Choi

Yang

Gagnon

2019

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

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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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