A perilous cause for cardiovocal syndrome

A perilous cause for cardiovocal syndrome A 74-year-old man presented with a 2-month history of hoarseness of voice and dyspnoea. He had been on treatment for hypertension and was a chronic smoker. Initial evaluation by an otorhinolaryngologist identified left vocal cord palsy (figure 1A). The chest X-ray appeared normal. For evaluation of coronary artery disease he was referred to the cardiology department. Two-dimensional echocardiography revealed moderate left ventricular dysfunction and dilatation of the ascending aorta. The coronary angiogram showed normal coronary arteries. An aortogram performed with the pigtail catheter in the ascending aorta revealed the presence of a large saccular aneurysm in the aortic arch, opposite to the left subclavian artery ostium, which was protruding inferolaterally (figure 1B). Multidetector CT aortogram showed a 6 cm x 5 cm saccular aneurysm on the inferolateral border of the aortic arch bulging towards the anatomical site of the ligamentum arteriosum (
Source: Heart Asia - Category: Cardiology Authors: Tags: Images in cardiovascular medicine Source Type: research