Pozzo-Salvatierra BL, Kimura-Fujikami K, Saravia-Rivera G, Gutiérrez-Quiroga R

Language: Spanish
References: 12
Page: 111-115
PDF size: 918.90 Kb.

ABSTRACT

Introduction. Left recurrent laryngeal nerve palsy, caused by a cardiovascular disease, is known as Ortner’s syndrome. The most common (and originally described) cause is auricular dilation by mitral valvulopathy. Other causes include aneurysms of the thoracic aorta, persistence of the ductus arteriosus, or aneurysm of the ductus arteriosus, and defects of the interatrial or interventricular septum, among others.
Presentation of the case. Male patient age 87 years with progressive dysphonia with no other associated symptoms or signs. Laryngoscopic study revealed paralysis of the left vocal cord. The chest x-ray showed a left upper mediastinal tumor and tomography revealed its vascular nature: giant aneurysm of the ductus arteriosus.
Discussion. Ductal aneurysm is a very rare entity in adults and its natural outcome, if not managed properly, is death due to rupture. Recent advances in 2D and 3D volumetric reconstruction techniques for computed tomography and magnetic resonance, as well as surgical techniques, have increased the number of preoperative diagnoses of ductal aneurysm in adults allowing opportune surgical treatment.

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