Dysphagia Secondary to Esophageal Compression in a Patient with Decompensated Heart Failure
Cardiogenic dysphagia is a rare type of esophageal dysphagia caused by external compression of the esophagus by an enlarged left atrium. Long-term comparisons between the degree of cardiogenic dysphagia and heart failure have not been reported due to its low incidence. We hereby report the case of a...
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| Language: | English |
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Korean College of Helicobacter and Upper Gastrointestinal Research
2022-06-01
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| Series: | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
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| Online Access: | http://www.helicojournal.org/upload/pdf/kjhugr-2022-0008.pdf |
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| author | Jintae Park Sora Baek Gowun Kim Seung-Joo Nam Byung-Ryul Cho |
| author_facet | Jintae Park Sora Baek Gowun Kim Seung-Joo Nam Byung-Ryul Cho |
| author_sort | Jintae Park |
| collection | DOAJ |
| description | Cardiogenic dysphagia is a rare type of esophageal dysphagia caused by external compression of the esophagus by an enlarged left atrium. Long-term comparisons between the degree of cardiogenic dysphagia and heart failure have not been reported due to its low incidence. We hereby report the case of a 74-year-old woman with valvular heart disease, suspected of having oropharyngeal dysphagia following a recent intracerebral hemorrhage, who performed a swallowing function test. Videofluoroscopic swallowing study (VFSS) revealed a supraglottic penetration, confirming the oropharyngeal dysphagia. Furthermore, post-VFSS chest radiograph revealed esophageal residual barium, suggestive of reduced esophageal food transition secondary to external compression, at the level of the T6 vertebral body. Chest computed tomography showed mid-esophageal compression caused by left atrial enlargement. She had pulmonary edema which was managed with diuretics. Post-VFSS chest radiographs also revealed a direct association between the diameter of the esophageal barium residue and body weight. A reduction in body weight led to the resolution of the barium residue and vice versa. Development of cardiac dysphagia may be one of the signs of acute exacerbation of heart failure. |
| format | Article |
| id | doaj-art-17fee285a4514dc7828ea0ecd4c6471a |
| institution | Kabale University |
| issn | 1738-3331 |
| language | English |
| publishDate | 2022-06-01 |
| publisher | Korean College of Helicobacter and Upper Gastrointestinal Research |
| record_format | Article |
| series | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| spelling | doaj-art-17fee285a4514dc7828ea0ecd4c6471a2025-08-20T03:32:58ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312022-06-0122214615110.7704/kjhugr.2022.0008725Dysphagia Secondary to Esophageal Compression in a Patient with Decompensated Heart FailureJintae Park0Sora Baek1Gowun Kim2Seung-Joo Nam3Byung-Ryul Cho4 Department of Rehabilitation Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea Department of Rehabilitation Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea Department of Rehabilitation Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea Division of Gastroenterology and Hepatology, Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea Division of Cardiology, Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, KoreaCardiogenic dysphagia is a rare type of esophageal dysphagia caused by external compression of the esophagus by an enlarged left atrium. Long-term comparisons between the degree of cardiogenic dysphagia and heart failure have not been reported due to its low incidence. We hereby report the case of a 74-year-old woman with valvular heart disease, suspected of having oropharyngeal dysphagia following a recent intracerebral hemorrhage, who performed a swallowing function test. Videofluoroscopic swallowing study (VFSS) revealed a supraglottic penetration, confirming the oropharyngeal dysphagia. Furthermore, post-VFSS chest radiograph revealed esophageal residual barium, suggestive of reduced esophageal food transition secondary to external compression, at the level of the T6 vertebral body. Chest computed tomography showed mid-esophageal compression caused by left atrial enlargement. She had pulmonary edema which was managed with diuretics. Post-VFSS chest radiographs also revealed a direct association between the diameter of the esophageal barium residue and body weight. A reduction in body weight led to the resolution of the barium residue and vice versa. Development of cardiac dysphagia may be one of the signs of acute exacerbation of heart failure.http://www.helicojournal.org/upload/pdf/kjhugr-2022-0008.pdfcardiomegalydeglutition disordersesophageal diseasesheart failuremanometry |
| spellingShingle | Jintae Park Sora Baek Gowun Kim Seung-Joo Nam Byung-Ryul Cho Dysphagia Secondary to Esophageal Compression in a Patient with Decompensated Heart Failure The Korean Journal of Helicobacter and Upper Gastrointestinal Research cardiomegaly deglutition disorders esophageal diseases heart failure manometry |
| title | Dysphagia Secondary to Esophageal Compression in a Patient with Decompensated Heart Failure |
| title_full | Dysphagia Secondary to Esophageal Compression in a Patient with Decompensated Heart Failure |
| title_fullStr | Dysphagia Secondary to Esophageal Compression in a Patient with Decompensated Heart Failure |
| title_full_unstemmed | Dysphagia Secondary to Esophageal Compression in a Patient with Decompensated Heart Failure |
| title_short | Dysphagia Secondary to Esophageal Compression in a Patient with Decompensated Heart Failure |
| title_sort | dysphagia secondary to esophageal compression in a patient with decompensated heart failure |
| topic | cardiomegaly deglutition disorders esophageal diseases heart failure manometry |
| url | http://www.helicojournal.org/upload/pdf/kjhugr-2022-0008.pdf |
| work_keys_str_mv | AT jintaepark dysphagiasecondarytoesophagealcompressioninapatientwithdecompensatedheartfailure AT sorabaek dysphagiasecondarytoesophagealcompressioninapatientwithdecompensatedheartfailure AT gowunkim dysphagiasecondarytoesophagealcompressioninapatientwithdecompensatedheartfailure AT seungjoonam dysphagiasecondarytoesophagealcompressioninapatientwithdecompensatedheartfailure AT byungryulcho dysphagiasecondarytoesophagealcompressioninapatientwithdecompensatedheartfailure |