Year 2022 / Volume 114 / Number 10
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Dual esophageal compression secondary to two vascular abnormalities

619-620

DOI: 10.17235/reed.2022.8567/2022

Pedro Antonio Sánchez Fuentes, José Ruiz Pardo, Elisabet Vidaña Márquez, Ricardo Belda Lozano,

Abstract
We report the case of a 65-year-old male with hypertension, diabetes and hypercholesterolemia, who presented due to pyrosis and regurgitation. A CT scan incidentally identified esophageal compression at two sites because of vascular abnormalities, which was asymptomatic. The proximal compression was due to a Kommerell’s diverticulum (Fig. 1) and the distal one due to aortic tortuosity (Fig. 2). Esophageal manometry revealed a distal obstructive pattern of mechanical origin, which was consistent with the observed aortic kink. The esophagogram (Fig. 3) showed a proximal filling defect and a bend in the distal third.
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References
Fernández Álvarez P, Valladolid León JM, Caunedo Álvarez Á. Esophageal compression by a mediastinal vascular structure as a result of a dysphagia lusoria. Rev Esp Enferm Dig. 2020 Jun;112(6):505. doi: 10.17235/reed.2020.6592/2019.
van Rosendael PJ, Stöger L, Kiès P, et al. The Clinical Spectrum of Kommerell's Diverticulum in Adults with a Right-Sided Aortic Arch: A Case Series and Literature Overview. J Cardiovasc Dev Dis. 2021 Feb 26;8(3):25. doi: 10.3390/jcdd8030025.
Grimaldi S, Milito P, Lovece A, et al. Dysphagia aortica. Eur Surg. 2021 Nov 9;1-12. doi: 10.1007/s10353-021-00741-9.
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Sánchez Fuentes P, Ruiz Pardo J, Vidaña Márquez E, Belda Lozano R. Dual esophageal compression secondary to two vascular abnormalities. 8567/2022


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Publication history

Received: 01/01/2022

Accepted: 30/01/2022

Online First: 10/02/2022

Published: 07/10/2022

Article revision time: 20 days

Article Online First time: 40 days

Article editing time: 279 days


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