Dysphagia due to Esophageal Compression by Bronchial Artery Hypertrophy: A case report.

, Shin, Yong Beom; , Sohn, Hyun Joo; , Chang, Jae Hyeok; , Han, Ji Eui; , Kim, Kyung Min; , Ko, Hyun Yoon

Case Report

Journal of the Korean Academy of Rehabilitation Medicine 2008;32(2):226-229.

Shin, Yong Beom , Sohn, Hyun Joo , Chang, Jae Hyeok , Han, Ji Eui , Kim, Kyung Min , Ko, Hyun Yoon

Department of Rehabilitation Medicine, Pusan National University School of Medicine, Busan, Korea. ongboy@medimail.co.kr

기관지동맥 비후에 의한 식도압박으로 유발된 삼킴장애 1례 -증례 보고-

신용범, 손현주, 장재혁, 한지의, 김경민, 고현윤

부산대학교 의학전문대학원 재활의학교실

Abstract

Recurrent respiratory tract infections and dysphagia after the first years of life are rarely caused by vascular compression of the esophagus. We experienced a case of dysphagia and frequent vomiting resulted from esophageal compression by bronchial artery hypertrophy, which might had been aggravated by recurrent aspiration pneumonia caused by underlying swallowing difficulty. The patient initially had significant motor delay and swallowing difficulty. Videofluoroscopic swallowing studies demonstrated deglutition abnormalities and aspiration. In addition, significant amount of swallowed food was regurgitated through esophagus. On barium esophagography and angiography, posterior indentation of the esophagus without proximal dilatation and bronchial artery hypertrophy were noted without congenital heart disease. Pulmonary trunk and its branches showed normal appearance. Therefore, we considered that bronchial artery hypertrophy attributed to pulmonary artery fibrosis due to recurrent aspiration pneumonia may cause esophageal compression, which in turn contribute to dysphagia, frequent vomiting and recurrent aspiration pneumonia. (J Korean Acad Rehab Med 2008; 32: 226-229)

Key Words: Esophageal compression, Dysphagia, Bronchial artery hypertrophy