Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2022, Vol. 36 ›› Issue (2): 64-67.doi: 10.6040/j.issn.1673-3770.1.2021.246

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Dysphagia due to left atrial enlargement: a case report and literature review

SONG Qing1,2, WANG Xiaoyong3, JIA Chuanliang2, MOU Yakui2, SONG Xicheng2   

  1. 1. Weifang Medical University, Clinical Medical School, Weifang 261000, Shandong, China;
    2. Department of Otorhinolaryngology & Head and Neck Surgery, Yantai Yuhuangding Hospital Affiliated to Qingdao University/ Shandong Provincial Clinical Research Center for Otorhinolaryngologic Diseases, Yantai 264000, Shandong, China;
    3. Department of Otorhinolaryngology, Yantaishan Hospital of Yantai, Yantai 264000, Shandong, China
  • Published:2022-04-15

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Abstract: Objective To report and review the clinical features and treatment experienceof dysphagia caused by left atrial enlargement. Methods We examined a patient presenting with dysphagia for left atrial hypertrophy and searched for relevant reports of patients with dysphagia caused by left atrial enlargement in the past ten years. The clinical characteristics, diagnosis, and treatment of these patients were summarized. Results Fifteen articles comprising seven men and eight women were included. The patients mainly presented with lose weight、 dyspnea、 voice hoarseness. Chest CT, upper gastrointestinal angiography and ultrasonic cardiogram? are commonly adjunct examination. Of the 14 patients with available data of diagnosis and treatment diagnosis, half underwent surgical treatment and postoperative dysphagia improved. Conclusion Although dysphagia has several etiologies, dysphagia caused by left atrial hypertrophy is rare and only reported in individual cases. Therefore, clinicians need to carefully observation、evaluation and use the best way for the etiologies of dysphagia, especially in older age patients as they are more likely to have underlying chronic disease.

Key words: Left atrium, Dysphagia, Rheumatic heart disease, Mitral regurgitation, Esophageal stenosis

CLC Number: 

  • R766.9
[1] Lang RM, Badano LP, Mor-Avi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging[J]. J Am Soc Echocardiogr, 2015, 28(1): 1-39.e14. doi:10.1016/j.echo.2014.10.003.
[2] Flores Umanzor EJ, Mimbrero M, San Antonio R, et al. Giant left atrium as a rare cause of dysphagia[J]. Am J Med, 2016, 129(12): e335-e336. doi:10.1016/j.amjmed.2016.05.046.
[3] Apostolakis E, Shuhaiber JH. The surgical management of giant left atrium[J]. Eur J Cardio - Thorac Surg, 2008, 33(2): 182-190. doi:10.1016/j.ejcts.2007.11.003.
[4] Adams C, Busato GM, Chu MWA. Left atrial reduction plasty: a novel technique[J]. Ann Thorac Surg, 2012, 93(3): e77-e79. doi:10.1016/j.athoracsur.2011.11.013.
[5] Alhajiri A, Ramadan MM, Senior R. Left atrial enlargement causing dysphagia and weight loss: a rare contraindication for catheter ablation therapy in a patient with complex atrial arrhythmia[J]. Int J Cardiol, 2014, 177(3): e111-e112. doi:10.1016/j.ijcard.2014.09.084.
[6] Arifputera A, Loo G, Chang P, et al. An unusual case of dysphonia and dysphagia[J]. Singapore Med J, 2014, 55(2): e31-e33. doi:10.11622/smedj.2013212.
[7] Bugra AK, Kadirogulları E, Onan B. Reduction plasty for giant left atrium causing dysphagia: a case report[J]. Gen Thorac Cardiovasc Surg, 2021, 69(3): 546-549. doi:10.1007/s11748-020-01490-4.
[8] Frigy A. Giant left atrium causing severe dysphagia[J]. Pan Afr Med J, 2018, 29: 52. doi:10.11604/pamj.2018.29.52.13607.
[9] Gaffney RR, Moyer MT, Boehmer JP, et al. A big hole and a big heart: an unusual case of esophageal dysphagia[J]. Dis Esophagus, 2013, 26(3): 347-348. doi:10.1111/j.1442-2050.2012.01386.x.
[10] Gajanana D, Morris DL, Janzer SF, et al. Giant left atrium causing dysphagia[J]. Tex Heart Inst J, 2016, 43(5): 469-471. doi:10.14503/thij-15-5682.
[11] Heng JS, Elghamaz A. Atrial enlargement associated with non-valvular atrial fibrillation: an unusual cause of dysphagia and weight loss[J]. Case Rep, 2015, 2015(mar05 1): bcr2014209213. doi:10.1136/bcr-2014-209213.
[12] Hsu YC, Wu SS, Yen HH. An unusual cause of dysphagia in an elderly woman: dysphagia megalatriensis[J]. Am J Med Sci, 2019, 358(1): e1-e2. doi:10.1016/j.amjms.2019.02.018.
[13] Khurana V, Thakur SK. Cardiogenic dysphagia: dysphagia megalatriensis[J]. Am J Med Sci, 2018, 355(3): e9. doi:10.1016/j.amjms.2017.10.002.
[14] Meng ZR, Pereira M, Sharma A. An 89-year-old man with dysphagia due to an aortic aneurysm and enlarged left atrium[J]. Can Med Assoc J, 2020, 192(47): E1539. doi:10.1503/cmaj.200427.
[15] Semeraro L, Lénaud AV, McLin VA. Cardiovascular dysphagia[J]. J Pediatr Gastroenterol Nutr, 2012, 55(1): 1. doi:10.1097/mpg.0b013e318244a30b.
[16] Xie XJ, Xiong Q, Yu FX. Dysphagia caused by giant left atrium[J]. Eur Heart J, 2020, 41(16): 1603. doi:10.1093/eurheartj/ehaa024.
[17] 孙红艳. 1例多种因素引起吞咽困难患者的护理体会[J]. 中国美容医学, 2010, 19(z1): 185. doi:10.3969/j.issn.1008-6455.2010.z1.156.
[18] Behl PR, Holden MP. Mitral valve disease and dysphagia[J]. European heart journal, 1984, 5(11): 919-923. doi: doi:10.1111/j.1365-4362.1981.tb00460.x.
[19] Whitney B, Croxon R. Dysphagia caused by cardiac enlargement[J]. Clin Radiol, 1972, 23(2): 147-152. doi:10.1016/s0009-9260(72)80079-5.
[20] Morgan AA, Mourant AJ. Left vocal cord paralysis and dysphagia in mitral valve disease[J]. Heart, 1980, 43(4): 470-473. doi:10.1136/hrt.43.4.470.
[21] Cappell MS. Manometric findings in dysphagia secondary to left atrial dilatation[J]. Digest Dis Sci, 1991, 36(5): 693-698. doi:10.1007/bf01297040.
[22] 李飞, 姚俊, 刘磊峰. 复杂性食管异物的临床诊疗分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(6): 85-89. doi: 10.6040/j.issn.1673-3770.0.2018.588. LI Fei, YAO Jun, LIU Leifeng. Clinical diagnosis and treatment of foreign bodies in a complex esophagus[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(6): 85-89. doi: 10.6040/j.issn.1673-3770.0.2018.588.
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