Maffè Stefano, Paino Anna Maria, Paffoni Paola, Bergamasco Luca, Dellavesa Pierfranco, Zenone Franco, Cucchi Lorenzo, Baduena Lara, Franchetti Pardo Nicolò, Parravicini Umberto
Division of Cardiology, SS Trinità Hospital, ASL No, Borgomanero, Italy.
J Clin Ultrasound. 2018 May;46(4):259-261. doi: 10.1002/jcu.22512. Epub 2017 Jun 27.
We report a case of left atrial extrinsic compression caused by an esophageal food bolus in a patient presenting with acute heart failure. Transthoracic echocardiography along with contrast-enhanced CT showed evidence of esophageal dilation producing left atrial compression. Esophageal endoscopy and fragmentation of the bolus, allowing the accumulated food to descend into the stomach, produced a rapid improvement of hemodynamic and clinical status. © 2017 Wiley Periodicals, Inc. J Clin Ultrasound 46:259-261, 2018.