open access

Vol 22, No 1-2 (2020)
Case report
Published online: 2022-01-18
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Ortner’s syndrome as the first symptom of thoracic aortic aneurysm, with coexisting infrarenal abdominal aortic aneurysm and critical stenosis of the left internal carotid artery

Sławomir Wojczyk1, Janusz Kuśmierz1, Marta Szwengruben1, Rajmund Ratman1, Józefa Dąbek2
·
Chirurgia Polska 2020;22(1-2):35-39.
Affiliations
  1. Regional Specialised Hospital No. 4 in Bytom, Bytom, Poland
  2. Department of Cardiology, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, Katowice, Poland

open access

Vol 22, No 1-2 (2020)
Case reports
Published online: 2022-01-18

Abstract

Ortner’s syndrome is a non-specific symptom of thoracic aortic aneurysm, therefore, it constitutes a challenge
— both, diagnostic and therapeutical — for contemporary physicians.
This paper presents the case of a 70-year-old patient reporting a hoarse voice for several months. Due
to the suspicion of neoplastic disease, the diagnostics were deepened and during this diagnostic, an
aneurysm of the descending thoracic aorta with the concurrent infrarenal abdominal aortic aneurysm and
critical stenosis of the left internal carotid artery was diagnosed. Based on the clinical condition and the
imaging examinations, the patient was qualified for endovascular surgical treatment — the implantation
of stent grafts into the thoracic aorta and the abdominal aorta, preceded by the endarterectomy of the left
internal carotid artery and one of the variants of debranching of the aortic arch.

Abstract

Ortner’s syndrome is a non-specific symptom of thoracic aortic aneurysm, therefore, it constitutes a challenge
— both, diagnostic and therapeutical — for contemporary physicians.
This paper presents the case of a 70-year-old patient reporting a hoarse voice for several months. Due
to the suspicion of neoplastic disease, the diagnostics were deepened and during this diagnostic, an
aneurysm of the descending thoracic aorta with the concurrent infrarenal abdominal aortic aneurysm and
critical stenosis of the left internal carotid artery was diagnosed. Based on the clinical condition and the
imaging examinations, the patient was qualified for endovascular surgical treatment — the implantation
of stent grafts into the thoracic aorta and the abdominal aorta, preceded by the endarterectomy of the left
internal carotid artery and one of the variants of debranching of the aortic arch.

Get Citation

Keywords

thoracic aortic aneurysm; abdominal aortic aneurysm; Ortner’s syndrome; endovascular stent-graft procedure; debranching technique

About this article
Title

Ortner’s syndrome as the first symptom of thoracic aortic aneurysm, with coexisting infrarenal abdominal aortic aneurysm and critical stenosis of the left internal carotid artery

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 22, No 1-2 (2020)

Article type

Case report

Pages

35-39

Published online

2022-01-18

Page views

5504

Article views/downloads

282

DOI

10.5603/ChP.2020.0006

Bibliographic record

Chirurgia Polska 2020;22(1-2):35-39.

Keywords

thoracic aortic aneurysm
abdominal aortic aneurysm
Ortner’s syndrome
endovascular stent-graft procedure
debranching technique

Authors

Sławomir Wojczyk
Janusz Kuśmierz
Marta Szwengruben
Rajmund Ratman
Józefa Dąbek

References (5)
  1. Melton LJ, Bickerstaff LK, Hollier LH, et al. Thoracic aortic aneurysms: a population-based study. Surgery. 1982; 92(6): 1103–1108.
  2. Salameh MJ, Black JH, Ratchford EV. Thoracic aortic aneurysm. Vasc Med. 2018; 23(6): 573–578.
  3. Saeyeldin AA, Velasquez CA, Mahmood SU, et al. Thoracic aortic aneurysm: unlocking the "silent killer" secrets. Gen Thorac Cardiovasc Surg. 2019; 67(1): 1–11.
  4. Alonso Pérez M, Llaneza Coto JM, Del Castro Madrazo JA, et al. Debranching aortic surgery. J Thorac Dis. 2017; 9(Suppl 6): S465–S477.
  5. Subramaniam V, Herle A, Mohammed N, et al. Ortner's syndrome: case series and literature review. Braz J Otorhinolaryngol. 2011; 77(5): 559–562.

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