Cardiovocal syndrome secondary to a giant aortic arch aneurysm

Tsai, Wen‐Chiuan; Wang, C.-H.; Chen, H.-C.

doi:10.1016/j.eurger.2014.05.006

Cited by 1 publication

(5 citation statements)

References 7 publications

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“…Hoarseness was a sole symptom in 32 (36.8%) patients [ 1 , 9 , 11 , 12 , 18 , 21 , 22 , 31 - 34 , 36 , 41 , 43 , 45 , 47 , 50 , 54 - 56 , 58 , 59 , 62 , 63 , 65 - 68 , 74 , 75 ] , a major symptom in 34 (39.1%) patients [ 2 , 5 , 6 , 8 , 10 , 13 - 16 , 19 , 24 , 28 , 31 , 32 , 38 , 39 , 44 , 46 , 49 , 51 - 53 , 57 , 61 , 64 , 70 ] , and an accompanying symptom in 21 (24.1%) patients [ 3 , 4 , 7 , 17 , 20 , 23 , 25 - 27 , 29 , 30 , 32 , 35 , 37 , 40 , 42 , 48 , 60 , 69 , 72 , 73 ] (χ [ 2 ] =5.1, P =0.079).…”

Section: Resultsmentioning

confidence: 99%

“…The shapes of arch aneurysms were described for 47 patients: 36 (76.6%) aneurysms were saccular nine (19.1%) were fusiform [ 27 , 42 , 44 , 51 , 54 , 57 , 61 , 62 , 72 ] , one (2.1%) was bilobed [ 73 ] , and one (2.1%) was irregularly shaped [ 38 ] . A mural thrombus was present in 34 (20.7%) patients [ 1 , 2 , 7 , 8 , 11 - 14 , 18 , 19 , 22 , 29 , 31 , 34 , 38 , 39 , 42 , 45 , 46 , 48 - 52 , 54 - 56 , 60 , 62 , 63 , 68 - 70 ] . In 12 (13.8%) patients, the arch aneurysms were pseudoaneurysms [ 4 , 17 , 26 , 33 , 36 , 41 , 43 , 46 , 48 , 55 ], 73 ] .…”

Section: Resultsmentioning

confidence: 99%

“…In 12 (13.8%) patients, the arch aneurysms were pseudoaneurysms [ 4 , 17 , 26 , 33 , 36 , 41 , 43 , 46 , 48 , 55 ], 73 ] . Left vocal cord paralysis was evidenced in 39 (44.8%) patients: by laryngoscopic examination in 34 (87.2%) patients [ 2 - 5 , 7 - 9 , 11 , 12 , 14 , 18 , 20 , 21 , 23 - 26 , 33 - 39 , 41 , 42 , 45 - 47 , 52 , 56 - 59 , 62 ]- 64 ,[ 66 , 68 , 71 , 73 - 75 ] , by nasopharyngoscopy in three (7.7%) patients [ 55 , 69 , 70 ] , and by bronchoscopy in two (5.1%) patients [ 48 , 54 ] . Nevertheless, one patient had right vocal cord paralysis instead [ 67 ] .…”

Section: Resultsmentioning

confidence: 99%

“…The treatment of choice was not described in 18 patients. Thirteen patients refused to receive a surgical/interventional treatment [ 3 , 7 , 14 , 19 , 20 , 22 , 23 , 35 , 39 , 52 , 59 , 60 , 64 ] . Two patients died suddenly before the treatment started [ 69 , 73 ] .…”

Section: Resultsmentioning

confidence: 99%

“…However, hoarseness recovery took longer time in the surgically treated patients than in the interventionally treated patients. Surgical or interventional treatment is warranted in such patients for the treatment of arch aneurysms and for hoarseness recovery as well.saccular [ 1 , 2 , 5 - 7 , 9 , 10 , 13 , 14 , 16 , 18 , 20 , 22 , 25 , 29 , 31 , 35 , 37 , 39 , 45 , 47 , 49 , 50 , 52 , 55 , 56 , 58 , 59 , 63 - 65 , 70 , 71 , 74 , 75 ] , nine (19.1%) were fusiform [ 27 , 42 , 44 , 51 , 54 , 57 , 61 , 62 , 72 ] , one (2.1%) was bilobed [ 73 ] , and one (2.1%) was irregularly shaped [ 38 ] . A mural thrombus was present in 34 (20.7%) patients [ 1 , 2 , 7 , 8 , 11 - 14 , 18 , 19 , 22 , 29 , 31 , 34 , 38 , 39 , 42 , 45 , 46 , 48 - 52 , 54 - …”

Section: Discussionmentioning

confidence: 99%

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Hoarseness Due to Aortic Arch Aneurysms

Yuan¹

2020

Braz J Cardiovasc Surg

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Objective To give an overview of the Ortner’s syndrome caused by an aortic arch aneurysm. Methods By comprehensive retrieval of the pertinent literature published in the past two decades, 75 reports including 86 patients were collected and recruited into this study along with a recent case of our own. Results The aortic arch aneurysms causing hoarseness were most commonly mycotic aneurysms. In this patient setting, in addition to the left recurrent laryngeal nerve, trachea was the most commonly affected structure by the aortic arch aneurysm. Surgical/interventional/hybrid treatments led to a hoarseness-relieving rate of 64.3%, much higher than that of patients receiving conservative treatment. However, hoarseness recovery took longer time in the surgically treated patients than in the interventionally treated patients. Conclusion The surgical and interventional treatments offered similar hoarseness-relieving effects. Surgical or interventional treatment is warranted in such patients for both treatment of arch aneurysms and relief of hoarseness.

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