Zheng Xu-Zhi, Chu Yueng-Hsiang, Tsai Chien-Sung, Lin Chih-Yuan
Division of Cardiovascular Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.
Department of Otolaryngology, Head and Neck Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.
Ann Vasc Surg. 2019 May;57:275.e9-275.e12. doi: 10.1016/j.avsg.2018.10.033. Epub 2019 Feb 1.
We present the case of an 89-year-old man with 3-month history of hoarseness and no other significant clinical manifestations. Flexible laryngoscopy revealed a paralyzed left vocal cord, and contrast-enhanced computed tomography showed a thoracic dissecting aortic aneurysm of the distal aortic arch and proximal descending aorta. The aortic aneurysm was repaired through implantation of an endovascular stent graft, and the patient was discharged uneventfully after a week. The false lumen was completely thrombosed, and the patient had a partial resolution of hoarseness at the 1-year follow-up.
我们报告一例89岁男性患者,有3个月声音嘶哑病史,无其他明显临床表现。可弯曲喉镜检查发现左侧声带麻痹,增强计算机断层扫描显示主动脉弓远端和降主动脉近端的胸段主动脉夹层动脉瘤。通过植入血管内支架移植物修复主动脉瘤,患者一周后顺利出院。假腔完全血栓形成,在1年随访时患者声音嘶哑部分缓解。