Ortner's syndrome resulting from aortic pseudoaneurysm owing to intimal sarcoma of the aorta

A 38-year-old man visited the otolaryngology department because of sudden onset of hoarseness a few days ago. A fiberoptic laryngoscopy revealed paralytic left vocal cord, indicating the left recurrent laryngeal nerve paralysis. Computed tomography angiography revealed a 44-mm aortic pseudoaneurysm...

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Main Authors: Akio Shimoji, MD, Naoto Fukunaga, MD, PhD, Tatsuto Wakami, MD, Otohime Mori, MD, Kosuke Yoshizawa, MD, Nobushige Tamura, MD, PhD
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Journal of Vascular Surgery Cases and Innovative Techniques
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Online Access:http://www.sciencedirect.com/science/article/pii/S2468428725000115
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author Akio Shimoji, MD
Naoto Fukunaga, MD, PhD
Tatsuto Wakami, MD
Otohime Mori, MD
Kosuke Yoshizawa, MD
Nobushige Tamura, MD, PhD
author_facet Akio Shimoji, MD
Naoto Fukunaga, MD, PhD
Tatsuto Wakami, MD
Otohime Mori, MD
Kosuke Yoshizawa, MD
Nobushige Tamura, MD, PhD
author_sort Akio Shimoji, MD
collection DOAJ
description A 38-year-old man visited the otolaryngology department because of sudden onset of hoarseness a few days ago. A fiberoptic laryngoscopy revealed paralytic left vocal cord, indicating the left recurrent laryngeal nerve paralysis. Computed tomography angiography revealed a 44-mm aortic pseudoaneurysm with thrombus originating at the left subclavian artery. At total aortic arch replacement, an intimal defect was found at the origin of the left subclavian artery, where the pseudoaneurysm originated. A longitudinal ulcer-like lesion of intima was noticed. Pathology of the aortic wall revealed undifferentiated intimal sarcoma of the aorta. The aortic pseudoaneurysm developed owing to invasion of intimal sarcoma.
format Article
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institution Kabale University
issn 2468-4287
language English
publishDate 2025-04-01
publisher Elsevier
record_format Article
series Journal of Vascular Surgery Cases and Innovative Techniques
spelling doaj-art-1ae92fa7dd854b3982cd0bea79d73ade2025-02-09T05:00:49ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872025-04-01112101729Ortner's syndrome resulting from aortic pseudoaneurysm owing to intimal sarcoma of the aortaAkio Shimoji, MD0Naoto Fukunaga, MD, PhD1Tatsuto Wakami, MD2Otohime Mori, MD3Kosuke Yoshizawa, MD4Nobushige Tamura, MD, PhD5Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, JapanCorrespondence: Naoto Fukunaga, MD, PhD, Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa-cho, Amagasaki, Hyogo 660-8550, Japan; Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, JapanDepartment of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, JapanDepartment of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, JapanDepartment of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, JapanDepartment of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, JapanA 38-year-old man visited the otolaryngology department because of sudden onset of hoarseness a few days ago. A fiberoptic laryngoscopy revealed paralytic left vocal cord, indicating the left recurrent laryngeal nerve paralysis. Computed tomography angiography revealed a 44-mm aortic pseudoaneurysm with thrombus originating at the left subclavian artery. At total aortic arch replacement, an intimal defect was found at the origin of the left subclavian artery, where the pseudoaneurysm originated. A longitudinal ulcer-like lesion of intima was noticed. Pathology of the aortic wall revealed undifferentiated intimal sarcoma of the aorta. The aortic pseudoaneurysm developed owing to invasion of intimal sarcoma.http://www.sciencedirect.com/science/article/pii/S2468428725000115Ortner's syndromeIntimal sarcoma of the aorta
spellingShingle Akio Shimoji, MD
Naoto Fukunaga, MD, PhD
Tatsuto Wakami, MD
Otohime Mori, MD
Kosuke Yoshizawa, MD
Nobushige Tamura, MD, PhD
Ortner's syndrome resulting from aortic pseudoaneurysm owing to intimal sarcoma of the aorta
Journal of Vascular Surgery Cases and Innovative Techniques
Ortner's syndrome
Intimal sarcoma of the aorta
title Ortner's syndrome resulting from aortic pseudoaneurysm owing to intimal sarcoma of the aorta
title_full Ortner's syndrome resulting from aortic pseudoaneurysm owing to intimal sarcoma of the aorta
title_fullStr Ortner's syndrome resulting from aortic pseudoaneurysm owing to intimal sarcoma of the aorta
title_full_unstemmed Ortner's syndrome resulting from aortic pseudoaneurysm owing to intimal sarcoma of the aorta
title_short Ortner's syndrome resulting from aortic pseudoaneurysm owing to intimal sarcoma of the aorta
title_sort ortner s syndrome resulting from aortic pseudoaneurysm owing to intimal sarcoma of the aorta
topic Ortner's syndrome
Intimal sarcoma of the aorta
url http://www.sciencedirect.com/science/article/pii/S2468428725000115
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