Open AccessEndovascular Management of Hoarseness Due to a Thoracic Aneurysm: Case Report and Review of the Literature
Author(s) -
Wesley K. Lew,
Kevin Patel,
Omar P. Haqqani,
Fred A. Weaver
Publication year - 2009
Publication title -
vascular and endovascular surgery/vascular and endovascular surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.46
H-Index - 45
eISSN - 1938-9116
pISSN - 1538-5744
DOI - 10.1177/1538574408324616
Subject(s) - medicine , aneurysm , radiology , surgery , aortopulmonary window , stent , recurrent laryngeal nerve , cardiothoracic surgery , thoracic aortic aneurysm , paralysis , aortic aneurysm , pulmonary artery , thyroid
Although uncommon, hoarseness can be a presenting symptom of a thoracic aneurysm. We present a case of a 67-year-old man with hoarseness, subsequently found to have left vocal paralysis. On workup, a computed tomography scan demonstrated a saccular thoracic aneurysm compressing the recurrent laryngeal nerve at the aortopulmonary window. About 6 months after treatment with an endovascular stent graft, the aneurysm sac decreased in size and hoarseness resolved without further surgical intervention. Although uncommonly mentioned as an indication for surgery, hoarseness from a thoracic aneurysm can be successfully managed with endovascular stent grafting.
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