Left Atrium With Dysphagia:Case Report

Abstract Background: Left atrium in 27 to 38 mm is normal and over 80mm is called giant left atria. Giant left atria is mostly caused by rheumatic mitral valve regurgitation. Pain, dysphagia and reflux are the common symptoms. Case presentation: We report a case with dysphagia for the reason of rheumatic heart disease with left atrium enlargement. He also had difficulty swallowing, but never had an inability to eat. And further the inner diameter did not fit the standard of giant left atria, but there was obvious compressive symptom of the esophagus and severe stricture of the esophageal lumen. Conclusions: There are many reasons for dysphagia, which need to be analyzed on a case-by-case basis. The patient with dysphagia after eating is likely to be confused with an esophageal foreign body, and a careful history should be taken.