A patient with dysphagia

Ahmed A Montasir; Masudur Rahman; Swapna R Mondal; Minhaz Uddin

doi:10.4103/jfmpc.jfmpc_378_20

A patient with dysphagia

J Family Med Prim Care. 2020 Aug 25;9(8):4415-4417. doi: 10.4103/jfmpc.jfmpc_378_20. eCollection 2020 Aug.

Authors

Ahmed A Montasir¹, Masudur Rahman², Swapna R Mondal³, Minhaz Uddin⁴

Affiliations

¹ Resident Physician, Department of Medicine, TMSS Medical College, Bogura, Bangladesh, Bogura.
² Professor, Department of Medicine, TMSS Medical College, Bogura, Bangladesh.
³ Associate Professor, Department of Radiology and Imaging, TMSS Medical College, Bogura, Bangladesh.
⁴ Registrar, Department of Medicine, TMSS Medical College, Bogura, Bangladesh.

Abstract

Mitral stenosis (MS) is the most common valvular heart disease in developing countries where rheumatic fever is common. It is also more common in women. The normal mitral orifice is 4-5 square cm in area and the symptoms do not occur until the orifice area falls to below 2.0 square cm and usually below 1.5 square cm. The orifice area decreases by 0.1-0.3 square cm per year. Rarely, the dilatation of the left atrium may cause the symptoms of dysphagia from esophageal compression. Although cardiovascular dysphagia is rare, it should be considered in the case of mitral stenosis. The etiologies of mitral stenosis can be congenital, acquired, or iatrogenic. This case report presents a patient having dysphagia due to an enlarged left atrium.

Keywords: Dilated left atrium; dysphagia; mitral stenosis.

Publication types

Case Reports