Patient presenting with breathlessness has a variety of reasons in the
middle age. Apart from respiratory, metabolic, cardiac, infectious,
cases have been reported in the literature with compression/impression
of Left Atrium (LA) by extracardiac structures like the gastrointestinal
tract, aorta / intrapericardial , pulmonary and mediastinal structures.
Amongst mediastinal compression, no case has been reported to date due
to compression by the dorsal spine. We report such a case of compression
of LA due to the dorsal spine, secondary to trauma at a young age, and
presenting in the middle age with increasing breathlessness.