Siddiqui Juveria, Hughes Frances
Department of Surgery, Barts and the London NHS Trust, London, UK.
BMJ Case Rep. 2011 Dec 1;2011:bcr0920114793. doi: 10.1136/bcr.09.2011.4793.
Thoracic aortic aneurysm is a rare clinical entity that is usually asymptomatic. Failure to treat this type of aneurysm can prove fatal. Here, the authors report a case of thoracic aortic aneurysm causing chronically worsening compressive symptoms including dysphagia. This was diagnosed following a suspicious chest radiograph, and confirmed with thoracic CT angiogram. These symptoms remitted over a period of months following thoracic endovascular repair of the aneurysm. Aneurysmal compression and deviation of the oesophagus is noticeably reduced following repair. This is one of few cases in the literature of a remittance of dysphagia following endovascular aneurysm repair, and highlights that rare causes of dysphagia ought not to be disregarded.
胸主动脉瘤是一种罕见的临床病症,通常无症状。不治疗这类动脉瘤可能会导致致命后果。在此,作者报告一例胸主动脉瘤导致包括吞咽困难在内的慢性压迫症状逐渐加重的病例。该病例经可疑的胸部X光片诊断,并经胸部CT血管造影证实。在对动脉瘤进行胸段血管腔内修复术后数月,这些症状逐渐缓解。修复术后,动脉瘤对食管的压迫和移位明显减轻。这是文献中少数经血管腔内动脉瘤修复术后吞咽困难得以缓解的病例之一,强调了不应忽视吞咽困难的罕见病因。