Aortic aneurysm: a rare cause of Ortner's syndrome.
A young man presented with hoarseness of voice and was found to have left vocal cord paralysis and a large opacity on chest X-ray in the left upper zone. CT angiography showed a giant aneurysm of the aortic arch involving the left subclavian artery. Using a dual perfusion system, with the femoral bypass circuit taking care of the spinal protection and the aortic bypass circuit providing the cerebral protection, the aneurysm was excised and a 16 mm Dacron graft was anastomosed to the aortic arch and the left subclavian artery was anastomosed to the interposition graft. He had a smooth postoperative course and his hoarseness subsided in next 6 months.
Department of Cardiac Surgery, Armed Forces Institute of Cardiology and National Institute of Heart Diseases, Rawalpindi.
Muhammad Usman
MU
Ali Shah
Department of Anaesthesia, Armed Forces Institute of Cardiology and National Institute of Heart Diseases, Rawalpindi.
Rashad
R
Siddiqi
Department of Cardiac Surgery, Armed Forces Institute of Cardiology and National Institute of Heart Diseases, Rawalpindi.
Muhammad Sohail
MS
Chaudhri
Department of Cardiac Surgery, Armed Forces Institute of Cardiology and National Institute of Heart Diseases, Rawalpindi.
Asif Ali
AA
Khan
Department of Cardiac Surgery, Armed Forces Institute of Cardiology and National Institute of Heart Diseases, Rawalpindi.
Imtiaz
I
Chaudhry
D000328:Adult; D000792:Angiography; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging*; D001014:Aortic Aneurysm / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006685:Hoarseness / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D007828:Laryngoscopy; D008297:Male; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000150:complications* / Q000000981:diagnostic imaging