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August 25, 2021European Heart Journal - Case ReportsOpen Access

A case report: cardiac dysphagia—a ghost of the past?

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Why the study?

Rheumatic heart disease has become rare in developed countries, leaving physicians unfamiliar with the disease and its clinical course.

Population

An 87-year-old patient with rheumatic mitral stenosis and mitral valve replacement admitted for vertigo

Design

Case report

Authors

CDCéline DeschepperMDMichel Depauw

Discussion

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Overview

Suggests caution with TEE in giant left atrium; single case leaves open relative contraindication.

Structured PICO

P
Population
87-year-old patient with a history of rheumatic mitral stenosis and mitral valve replacement admitted for vertigo
I
Intervention
Transoesophageal echocardiogram (TOE)
O
Outcome
Dysphagia due to oesophagogastric junction outflow obstruction

Transoesophageal echocardiography is relatively contraindicated in patients with a giant left atrium due to the risk of oesophageal compression and subsequent dysphagia.

Cite This Study

Deschepper et al. (2021) studied this question.

synapsesocial.com/papers/6a892b96fc63f1689e1fee13https://doi.org/10.1093/ehjcr/ytab338
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Dysphagia Megalatriensis: An Uncommon Cardiac Mimicker of Gastroesophageal Dysphagia2024
  2. 2Giant Atrial Dilatation: Systematic Review of Reported Cases from the Last Decade and an Illustrative Case with Dysphagia and Severe Dysphonia2025 · 1 citations
  3. 3Giant left atrium and management modalities (surgical vs. conservative): a case report from Mauritania2023 · 2 citations
  4. 4An extreme giant left atrium exceeding 160 mm in rheumatic mitral valve disease: a case report2026
  5. 5Erlenmeyer-shaped Heart in a Patient with Giant Left Atrium due to Mixed Mitral Valve Pathology: A Neglected Case in a Rural Area in Indonesia2023