dostęp otwarty
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
- Regional Specialised Hospital No. 4 in Bytom, Bytom, Poland
- Department of Cardiology, School of Health Sciences in Katowice, Medical University of Silesia in Katowice, Katowice, Poland
dostęp otwarty
Streszczenie
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.
Streszczenie
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.
Słowa kluczowe
thoracic aortic aneurysm; abdominal aortic aneurysm; Ortner’s syndrome; endovascular stent-graft procedure; debranching technique
Tytuł
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
Czasopismo
Numer
Typ artykułu
Opis przypadku
Strony
35-39
Opublikowany online
2022-01-18
Wyświetlenia strony
5505
Wyświetlenia/pobrania artykułu
283
DOI
Rekord bibliograficzny
Chirurgia Polska 2020;22(1-2):35-39.
Słowa kluczowe
thoracic aortic aneurysm
abdominal aortic aneurysm
Ortner’s syndrome
endovascular stent-graft procedure
debranching technique
Autorzy
Sławomir Wojczyk
Janusz Kuśmierz
Marta Szwengruben
Rajmund Ratman
Józefa Dąbek
- Melton LJ, Bickerstaff LK, Hollier LH, et al. Thoracic aortic aneurysms: a population-based study. Surgery. 1982; 92(6): 1103–1108.
- Salameh MJ, Black JH, Ratchford EV. Thoracic aortic aneurysm. Vasc Med. 2018; 23(6): 573–578.
- 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.
- Alonso Pérez M, Llaneza Coto JM, Del Castro Madrazo JA, et al. Debranching aortic surgery. J Thorac Dis. 2017; 9(Suppl 6): S465–S477.
- Subramaniam V, Herle A, Mohammed N, et al. Ortner's syndrome: case series and literature review. Braz J Otorhinolaryngol. 2011; 77(5): 559–562.