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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.


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.

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