Dysphagia aortica is a rare cause of external esophageal compression from an enlarged, tortuous, or aneurysmal aorta. An 85-year-old woman with a known ascending aortic aneurysm presented with several weeks of intermittent regurgitation of liquids and pills. A barium esophagram revealed a severe 40 mm long segment narrowing of the distal esophagus with delayed transit. Computed tomography angiography (CTA) revealed a 5.6 cm ascending aortic aneurysm exerting mass effect on the esophagus; endoscopy noted no intrinsic obstruction or obvious external compression. This case demonstrates the challenge of diagnosing dysphagia aortica in the setting of normal endoscopy, emphasizing the need for additional imaging.
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Arman Manjikian
Michael Ghobrial
Victoria Diaz
Cureus
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Manjikian et al. (Thu,) studied this question.
www.synapsesocial.com/papers/69db361c4fe01fead37c4649 — DOI: https://doi.org/10.7759/cureus.106727