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DYSPHAGIA AND ENLARGED THORACIC AORTIC ANEURYSM: IS THERE EVER A CAUSAL RELATIONSHIP?

To the Editor: I have read the interesting report by Ebihara et al. In my opinion, some debatable points appear in their article. Briefly, they have described an elderly man with progressive dysphagia attributed to enlargement of thoracic aortic aneurysm. His medical history included Alzheimer’s disease, cerebrovascular disease, and abdominal aortic aneurysm. Extrinsic compression of the esophagus due to an aneurysm of the atherosclerotic thoracic aorta may cause dysphagia in older people. This condition, known as dysphagia aortica, is uncommon and is usually associated with old age, women of short stature, hypertension, and kyphosis.