J Cardiovasc Ultrasound.  2012 Dec;20(4):218-219. 10.4250/jcu.2012.20.4.218.

A Case of Esophageal Achalasia Compressing Left Atrium Diagnosed by Echocardiography in Patient with Acute Chest Pain

• Lee H
• Lee SH
• Kim JH
• Lee DJ
• Uhm JS
• Shim CY
• Chang HJ
• Hong GR
• Ha JW
• Chung N

• KMID: 2177414
• DOI: http://doi.org/10.4250/jcu.2012.20.4.218

Abstract

No abstract available.

Keyword

Achalasia; Left atrium; Echocardiography

MeSH Terms

Chest Pain
Echocardiography
Esophageal Achalasia
Heart Atria
Humans
Thorax

Figure

• 

  Fig. 1 A: Parasternal long axis view of transthoracic echocardiography showed round shape mass lesion compressing the left atrium (white arrow). B: After drinking a liquid containing carbon dioxide, the esophagus was filled with air contrast (white arrow). LA: left atrium, LV: left ventricle, RV: right ventricle.

• 

  Fig. 2 A: Dilatation of the esophagus compressing the left atrium was revealed in chest computed tomography (white arrow). B: Esophagography with gastrografin identified achalasia. LA: left atrium, LV: left ventricle, RV: right ventricle, RA: right atrium.

Reference

1. D'Cruz IA, Feghali N, Gross CM. Echocardiographic manifestations of mediastinal masses compressing or encroaching on the heart. Echocardiography. 1994. 11:523–533.

2. van Rooijen JM, van den Merkhof LF. Left atrial impression: a sign of extra-cardiac pathology. Eur J Echocardiogr. 2008. 9:661–664.

3. Goel K, Rishikant N, Chadha DS. Left atrial compression caused by achalasia. J Am Coll Cardiol. 2009. 54:955.