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Revista argentina de cardiología

On-line version ISSN 1850-3748


BORRACCI, Raúl A.; RUBIO, Miguel; MEMOLI, Roberto  and  AHUAD GUERRERO, Rodolfo A.. Dysphagia aortica due to a progressive fusiform aneurysm from a type B aortic dissection. Rev. argent. cardiol. [online]. 2005, vol.73, n.5, pp.378-380. ISSN 1850-3748.

Dysphagia aortica resulting from extrinsic compression of the esophagus by a descending thoracic aortic aneurysm is a rare etiology. A 63-year-old man presented with progressive dysphagia for 6 months associated to weight loss. He had a history of hypertension and acute thoracic pain one year before, considered at that moment as a 'coronary syndrome'. Magnetic Resonance Imaging and aortogram showed the usual pattern of aortic dissection Stanford type B and a localized fusiform epifrenic aneurysm narrowing the distal portion of the esophagus. The case was interpreted as a progressive aneurysm caused by an aortic dissection which had passed unnoticed one year before. After graft replacement the patient developed a paraplegia as a major event. Dysphagia improved dramatically and 6 months after discharge a new esophagogram showed normal transit.

Keywords : Dysphagia; Aortic dissection; Surgery.

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