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Vascular and Endovascular Surgery
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Endovascular Repair of a Penetrating Thoracic Aortic Ulcer Presenting With Left Recurrent Laryngeal Nerve Palsy

Umar Sadat, MB

Cambridge Vascular Unit, Addenbrooke's Hospital, Cambridge, United Kingdom

Andrew Titchner, MB BChir

Cambridge Vascular Unit, Addenbrooke's Hospital, Cambridge, United Kingdom

Nadim Noor, FRCS

Cambridge Vascular Unit, Addenbrooke's Hospital, Cambridge, United Kingdom

Jagjeet Naik, MD, FRCS

Cambridge Vascular Unit, Addenbrooke's Hospital, Cambridge, United Kingdom

Jonathan R. Boyle, MD, FRCS

Cambridge Vascular Unit, Addenbrooke's Hospital, Cambridge, United Kingdom, jonathan.boyle{at}addenbrookes.nhs.uk

Endovascular repair offers minimally invasive management of otherwise complex thoracic aneurysms. Here, a case is reported of a 74-year-old man, a known hypertensive and ex-smoker, who underwent fiberoptic bronchoscopy for gradually progressing intermittent hoarseness of voice, which revealed incomplete left vocal cord palsy with no visible mass; however, computerized tomography and subsequent arteriography demonstrated a penetrating thoracic aortic ulcer with an associated false aneurysm (5 x 4 cm) from the distal inferior aortic arch just beyond the left subclavian origin, possibly compressing the left recurrent laryngeal nerve. Successful repair of the pseudoaneurysm was undertaken by endovascular technique with marked resolution of hoarseness after 1 year of follow-up.

Key Words: penetrating aortic ulcer • thoracic aneurysm stenting • recurrent laryngeal nerve palsy

Vascular and Endovascular Surgery, Vol. 41, No. 6, 556-558 (2008)
DOI: 10.1177/1538574407305460
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