Disfagia aórtica a partir de un aneurisma fusiforme asociado con disección aórtica tipo B

dysphagia aortica resulting from extrinsic compression of the esophagus by a descending thoracic aortic aneurysm is a rare etiology. a 63-year-old man presented with progressive dysphagia for 6 months associated to weight loss. he had a history of hypertension and acute thoracic pain one year before, considered at that moment as a 'coronary syndrome'. magnetic resonance imaging and aortogram showed the usual pattern of aortic dissection stanford type b and a localized fusiform epifrenic aneurysm narrowing the distal portion of the esophagus. the case was interpreted as a progressive aneurysm caused by an aortic dissection which had passed unnoticed one year before. after graft replacement the patient developed a paraplegia as a major event. dysphagia improved dramatically and 6 months after discharge a new esophagogram showed normal transit.