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Videofluoroscopy of Swallowing Abnormalities in 22 Symptomatic Patients After Cardiovascular Surgery

Bernhard L. Partik1, Martina Scharitzer1, Gerd Schueller1, Martin Voracek2, Wolfgang Schima1, Ewald Schober1, Michael R. Mueller3, Ann N. Leung1, Doris-Maria Denk4 and Peter Pokieser1

1 Department of Radiology, University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria.
2 Department of Psychoanalysis and Psychotherapy, Documentation and Statistics Branch, University of Vienna, A-1090 Vienna, Austria.
3 Department of Thoracic and Cardiovascular Surgery, University of Vienna, A-1090 Vienna, Austria.
4 Department of Otolaryngology, University of Vienna, A-1090 Vienna, Austria.



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  		Fig. 1. —74-year-old man who underwent repair of thoracic aorta aneurysm, transesophageal echocardiography, and long-term intubation. Videofluoroscopic image obtained in lateral plane shows intradeglutitive aspiration of contrast material into trachea (arrowhead).

 


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  		Fig. 2. —72-year-old man who underwent replacement of aortic valve, transesophageal echocardiography, and long-term intubation. Videofluoroscopic image obtained in anteroposterior direction shows dilatation of right piriform sinus (large arrowhead) caused by right-sided pharyngeal paresis. Note contrast material in trachea (small arrowheads) resulting from postdeglutitive aspiration due to pharyngeal retention.

 


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  		Fig. 3A. —71-year-old woman who underwent replacement of mitral valve and transesophageal echocardiography. Videofluoroscopic image obtained in lateral plane shows posterior indentation of esophagus due to incomplete opening of upper esophageal sphincter (arrowhead).

 


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  		Fig. 3B. —71-year-old woman who underwent replacement of mitral valve and transesophageal echocardiography. Videofluoroscopic image obtained in anteroposterior plane shows bilateral indentation (arrows) of esophagus due to incomplete opening of upper esophageal sphincter.

 


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  		Fig. 4. —67-year-old man who underwent replacement of mitral valve, transesophageal echocardiography, and long-term intubation. Videofluoroscopic image obtained in lateral plane shows nearly no tilting of epiglottis (large arrowhead). Note intradeglutitive aspiration of contrast material into trachea (arrow) and narrowing of pharyngeal cavity (small arrowheads) caused by pharyngeal constrictors during swallowing.

 

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