A 72-year-old patient was admitted to our clinic following posterior wall myocardial infarction. Furthermore, he had suffered from dysphagia and intermittent regurgitation for a time period of two months. Radiological diagnostics revealed an esophageal impingement by the left atrium and the descending aorta due to severe thoracic scoliosis. This represents an infrequent form of cardiovascular esophageal compression.