Hoarseness Due to Aortic Arch Aneurysms

Abstract Objective: To give an overview of the Ortner’s syndrome caused by an aortic arch aneurysm. Methods: By comprehensive retrieval of the pertinent literature published in the past two decades, 75 reports including 86 patients were collected and recruited into this study along with a recent...

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Main Author: Shi-Min Yuan
Format: Article
Language:English
Published: Sociedade Brasileira de Cirurgia Cardiovascular 2020-04-01
Series:Brazilian Journal of Cardiovascular Surgery
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382020000600970&tlng=en
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author Shi-Min Yuan
author_facet Shi-Min Yuan
author_sort Shi-Min Yuan
collection DOAJ
description Abstract Objective: To give an overview of the Ortner’s syndrome caused by an aortic arch aneurysm. Methods: By comprehensive retrieval of the pertinent literature published in the past two decades, 75 reports including 86 patients were collected and recruited into this study along with a recent case of our own. Results: The aortic arch aneurysms causing hoarseness were most commonly mycotic aneurysms. In this patient setting, in addition to the left recurrent laryngeal nerve, trachea was the most commonly affected structure by the aortic arch aneurysm. Surgical/interventional/hybrid treatments led to a hoarseness-relieving rate of 64.3%, much higher than that of patients receiving conservative treatment. However, hoarseness recovery took longer time in the surgically treated patients than in the interventionally treated patients. Conclusion: The surgical and interventional treatments offered similar hoarseness-relieving effects. Surgical or interventional treatment is warranted in such patients for both treatment of arch aneurysms and relief of hoarseness.
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spelling doaj.art-efd288d3fd4745ceb24a141ed2cfa4162022-12-22T00:26:38ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-97412020-04-0135697097610.21470/1678-9741-2019-0352Hoarseness Due to Aortic Arch AneurysmsShi-Min Yuanhttps://orcid.org/0000-0002-1773-2959Abstract Objective: To give an overview of the Ortner’s syndrome caused by an aortic arch aneurysm. Methods: By comprehensive retrieval of the pertinent literature published in the past two decades, 75 reports including 86 patients were collected and recruited into this study along with a recent case of our own. Results: The aortic arch aneurysms causing hoarseness were most commonly mycotic aneurysms. In this patient setting, in addition to the left recurrent laryngeal nerve, trachea was the most commonly affected structure by the aortic arch aneurysm. Surgical/interventional/hybrid treatments led to a hoarseness-relieving rate of 64.3%, much higher than that of patients receiving conservative treatment. However, hoarseness recovery took longer time in the surgically treated patients than in the interventionally treated patients. Conclusion: The surgical and interventional treatments offered similar hoarseness-relieving effects. Surgical or interventional treatment is warranted in such patients for both treatment of arch aneurysms and relief of hoarseness.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382020000600970&tlng=enHoarsenessAneurysm, InfectedRecurrent Laryngeal NerveConservative TreatmentTracheaAorta Aneurysm
spellingShingle Shi-Min Yuan
Hoarseness Due to Aortic Arch Aneurysms
Brazilian Journal of Cardiovascular Surgery
Hoarseness
Aneurysm, Infected
Recurrent Laryngeal Nerve
Conservative Treatment
Trachea
Aorta Aneurysm
title Hoarseness Due to Aortic Arch Aneurysms
title_full Hoarseness Due to Aortic Arch Aneurysms
title_fullStr Hoarseness Due to Aortic Arch Aneurysms
title_full_unstemmed Hoarseness Due to Aortic Arch Aneurysms
title_short Hoarseness Due to Aortic Arch Aneurysms
title_sort hoarseness due to aortic arch aneurysms
topic Hoarseness
Aneurysm, Infected
Recurrent Laryngeal Nerve
Conservative Treatment
Trachea
Aorta Aneurysm
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382020000600970&tlng=en
work_keys_str_mv AT shiminyuan hoarsenessduetoaorticarchaneurysms