Left atrial enlargement

Case contributed by Dr Ahmed Abdrabou

Presentation

Dysphagia and heart burn

Patient Data

Age: 75 years
Gender: Female
Barium

The esophagus is displaced posteriorly and to the left side with mid oesophagal narrowing that doesn't persist all through the study suggesting external compression. The shadow of the enlarged left atrium is noted on oblique views. Also a large amount of contrast reflux at Trendelenburg position is noted.

On the control, AP view the subcarinal angle is splayed in keeping with left atrial enlargement.

Barium

Left atrial enlargement.

Case Discussion

The esophagus comes in contact with the left atrium hence, left atrial dilatation displace the esophagus and resulted in dysphagia.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.