Tortuous aorta--a new cause for esophageal chest pain?

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1990-04-01
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Abstract
Three patients (average age 61 years) presenting with retrosternal pain were evaluated with barium studies of the upper gastrointestinal tract. In each case, the esophagus was significantly displaced by a tortuous aorta. All patients had sliding hiatal hernias; these hiatal hernias, and the esophagitis and disordered motility seen in our patients, could be a consequence of esophageal displacement by the tortuous aorta. Two patients were relieved symptomatically with antacids and metoclopramide. Thus, tortuosity of the thoracic aorta can cause esophageal chest pain.
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Shah P, Ramakantan R. Tortuous aorta--a new cause for esophageal chest pain? Indian Journal of Gastroenterology. 1990 Apr; 9(2): 153-4