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Vascular and Endovascular Surgery
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Ortner's Syndrome and Endoluminal Treatment of a Thoracic Aortic Aneurysm

A Case Report

Josè F. Guijarro Escribano, MD, PhD

Departments of Vascular Surgery, Madrid, Spain; Cirugìa Vascular, Hospital Central de la Defensa "GÛmez Ulla," Gta. del Ejèrcito s/n. 28047 Madrid jfge41{at}wanadoo.es

Jerûnimo Carnès, PhD

Departments of Experimental Surgery, Madrid, Spain

Miguel A. Brinquis Crespo, MD

Departments of Otorhinolaryngology, Madrid, Spain

Rafael Fern·ndez Antûn, MD

Departments of Interventional Radiology, Hospital Central de la Defensa "GÛmez Ulla," Madrid, Spain

Left recurrent laryngeal nerve paralysis was first described in 1897 by Ortner in a patient with mitral valve disease. However, this paralysis has also been attributed to other cardiovascular pathologies, such as thoracic aortic aneurysms. In 1971, Parodi introduced the endoluminal technique by inserting endovascular prostheses for the treatment of vascular aneurysms. The authors present a case of acute dysphonia following left recurrent laryngeal nerve paralysis, confirmed by laryngoscopy, in a patient who was diagnosed with a saccular thoracic aortic aneurysm and treated with endovascular prostheses. It was not necessary to perform any additional surgical procedures on the vocal folds because the patient showed sufficient improvement during speech therapy. Follow-up exams at 3 and 6 months demonstrated the lack of any swallowing or respiratory disorders.

Vascular and Endovascular Surgery, Vol. 40, No. 1, 75-78 (2006)
DOI: 10.1177/153857440604000111


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