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
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