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.

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Case information

rID: 23098
Published: 22nd May 2013
Last edited: 23rd Nov 2020
System: Cardiac
Inclusion in quiz mode: Included