| An unusual case of dysphagia after endovascular exclusion of thoracoabdominal aortic aneurysm. | |
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MedLine Citation:
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PMID: 19456196 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Andrea Kahlberg; Massimiliano M Marrocco-Trischitta; Enrico M Marone; Alexandre C M Amato; Germano Melissano; Roberto Chiesa |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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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:
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Created Date: 2009-05-21 Completed Date: 2009-06-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100896915 Medline TA: J Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 238-42 Citation Subset: IM |
Affiliation:
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Vascular Surgery, "Vita-Salute" University, Scientific Institute San Raffaele, Milan, Italy. kahlberg.andrea@hsr.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Botulinum Toxins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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