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

Akio Shimoji, MD; Naoto Fukunaga, MD, PhD; Tatsuto Wakami, MD; Otohime Mori, MD; Kosuke Yoshizawa, MD; Nobushige Tamura, MD, PhD

Journal of Vascular Surgery Cases and Innovative Techniques (Apr 2025)

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

Akio Shimoji, MD,
Naoto Fukunaga, MD, PhD,
Tatsuto Wakami, MD,
Otohime Mori, MD,
Kosuke Yoshizawa, MD,
Nobushige Tamura, MD, PhD

Affiliations

Akio Shimoji, MD: Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan
Naoto Fukunaga, MD, PhD: Correspondence: 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, Japan
Tatsuto Wakami, MD: Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan
Otohime Mori, MD: Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan
Kosuke Yoshizawa, MD: Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan
Nobushige Tamura, MD, PhD: Department of Cardiovascular Surgery, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan

Journal volume & issue: Vol. 11, no. 2
p. 101729

Abstract

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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.

Published in Journal of Vascular Surgery Cases and Innovative Techniques

ISSN: 2468-4287 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Surgery; Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.sciencedirect.com/journal/journal-of-vascular-surgery-cases-innovations-and-techniques

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