A Case of Esophageal Stenosis with Descending Aortic Elongation (Dysphagia Aortica)

(Department of Cardiovascular Surgery, Kyoto First Red Cross Hospital, Kyoto, Japan)

Osamu Sakai Yuichiro Murayama Satoshi Numata
Keitaro Koushi Akiteru Nakamura
We report a case of dysphagia caused by compression of the esophagus by the nonaneurysmal tortuous descending aorta (dysphagia aortica). A 69-year-old woman was admitted suffering from dysphagia. Esophagoscopy showed esophageal stenosis caused by pulsatile and extramural compression. Esophagography and aortograms also showed that the nonaneurysmal tortuous descending aorta compressed the esophagus in an anteromedian direction. To avoid the esophageal ulcer and the aortoesophageal fistula, resection of the tortuous aorta and a Dacron graft replacement was performed. After operation compression of the esophagus was released and her complaint improved.
@Jpn. J. Cardiovasc. Surg. 34: 134-136 (2005)