title: Giant Aortic Arch Aneurysm and Cardio-vocal Syndrome: Still An Open-surgery Indication.
abstract: The Cardio-vocal Syndrome (Ortner's syndrome) is described as hoarseness due to the left recurrent laryngeal nerve palsy, caused by a specific cardiovascular pathology. In this case, we present a patient with a giant aortic arch aneurysm with an initial clinical presentation of Cardio-vocal Syndrome. The conventional open-surgery, instead of endovascular approach, was useful to control the morbidity from the compressive effect of adjacent structures, also preventing the aortic rupture. We strongly recommend analyzing carefully the individual case and the clinical targets to resolve, because the new technologies are not always the most effective therapeutic response.
authors.affiliation: Department of Cardiac Surgery, Department of Anatomy and Embryology II, Ramon y Cajal Hospital, Complutense University, Madrid, Spain.
authors.forename: Jose M
authors.initials: JM
authors.lastname: Garrido
authors.affiliation: Department of Cardiovascular Surgery, Virgen de las Nieves Hospital, Granada, Spain.
authors.forename: Maria
authors.initials: M
authors.lastname: Esteban
authors.affiliation: Department of Cardiovascular Surgery, Virgen de las Nieves Hospital, Granada, Spain.
authors.forename: Juan
authors.initials: J
authors.lastname: Lara
authors.affiliation: Department of Anatomy and Embryology II, Complutense Unversity, Mardid, Spain.
authors.forename: Jose F
authors.initials: JF
authors.lastname: Rodriguez-Vazquez
authors.affiliation: Department of Anatomy and Embryology II, Complutense Unversity, Mardid, Spain.
authors.forename: Samuel
authors.initials: S
authors.lastname: Verdugo-Lopez
authors.affiliation: Department of Cardiovascular Surgery, Virgen de las Nieves Hospital, Granada, Spain.
authors.forename: Salvador
authors.initials: S
authors.lastname: Lopez-Checa
keywords: Aortic aneurysm; Cardio-vocal syndrome; Ortner’s Syndrome