Dysphagia aortica: a fatal delay in diagnosis

Extrinsic esophageal compression leading to dysphagia is an uncommon and late presentation of large thoracic aortic aneurysm named dysphagia aortica. Herein, we report an 86-year-old man who presented with 1-week duration of chest pain, backache, and dysphagia and was eventually diagnosed as dysphag...

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Veröffentlicht in:The American journal of emergency medicine 2015-08, Vol.33 (8), p.1117.e3-1117.e5
Hauptverfasser: Liao, Chen-Yi, MD, Huang, Shih-Chung, MD, Wang, Yi-Chen, MD, Chin, Hsien-Kuo, MD, Tsai, Chi-chang, MD, Ben, Ren-Jy, MD, Wu, Hau-Ming, MD
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container_title The American journal of emergency medicine
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creator Liao, Chen-Yi, MD
Huang, Shih-Chung, MD
Wang, Yi-Chen, MD
Chin, Hsien-Kuo, MD
Tsai, Chi-chang, MD
Ben, Ren-Jy, MD
Wu, Hau-Ming, MD
description Extrinsic esophageal compression leading to dysphagia is an uncommon and late presentation of large thoracic aortic aneurysm named dysphagia aortica. Herein, we report an 86-year-old man who presented with 1-week duration of chest pain, backache, and dysphagia and was eventually diagnosed as dysphagia aortica. Our patient developed progressive dyspnea due to tracheal compression and failed surgery. The case illustrates the importance of early identification of the rare entity of dysphagia especially in elderly cases with cardiovascular disease with complaint of undetermined dysphagia accompanied with chest pain and backache.
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subjects Aged, 80 and over
Aneurysms
Aortic Aneurysm, Thoracic - complications
Aortic Aneurysm, Thoracic - diagnosis
Back pain
Barium
Blood
Cardiovascular disease
Coronary vessels
Deaths
Deglutition Disorders - etiology
Delayed Diagnosis
Dysphagia
Emergency
Emergency medical care
Endoscopy
Family medical history
Fatal Outcome
Food
Heart surgery
Humans
Male
Medical imaging
Ostomy
Urea
title Dysphagia aortica: a fatal delay in diagnosis
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