Document Detail


An unusual case of dysphagia after endovascular exclusion of thoracoabdominal aortic aneurysm.
MedLine Citation:
PMID:  19456196     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To report an unusual case of dysphagia that developed immediately after stent-grafting of a thoracoabdominal aortic aneurysm. CASE REPORT: A 79-year-old woman was submitted to a staged hybrid repair of a thoracoabdominal aortic aneurysm and developed new onset dysphagia and regurgitation early after stent-grafting of the thoracic aorta. Esophageal imaging showed a marked endoluminal stenosis, suggesting the development of secondary achalasia. The patient was submitted to endoscopic injections of botulinum toxin at the lower esophageal sphincter, which completely resolved the symptoms. CONCLUSION: Acute dysphagic syndrome after thoracic aorta endografting has been anecdotically reported, and its etiology remains undefined. In this report, we illustrate the clinical features of this rare condition, discuss etiological hypotheses, and suggest a noninvasive therapeutic approach.
Authors:
Andrea Kahlberg; Massimiliano M Marrocco-Trischitta; Enrico M Marone; Alexandre C M Amato; Germano Melissano; Roberto Chiesa
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  16     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-05-21     Completed Date:  2009-06-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  238-42     Citation Subset:  IM    
Affiliation:
Vascular Surgery, "Vita-Salute" University, Scientific Institute San Raffaele, Milan, Italy. kahlberg.andrea@hsr.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Aortic Aneurysm, Thoracic / radiography,  surgery*
Aortography / methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation / adverse effects*,  instrumentation
Botulinum Toxins / administration & dosage
Deglutition Disorders / drug therapy,  etiology*
Esophageal Achalasia / drug therapy,  etiology*
Female
Humans
Injections
Stents
Tomography, X-Ray Computed
Treatment Outcome
Chemical
Reg. No./Substance:
0/Botulinum Toxins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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