The First Hospital of Putian, Teaching Hospital, Fujian Medical University, Putian, People's Republic of China.
Braz J Cardiovasc Surg. 2020 Dec 1;35(6):970-976. doi: 10.21470/1678-9741-2019-0352.
To give an overview of the Ortner's syndrome caused by an aortic arch aneurysm.
By comprehensive retrieval of the pertinent literature published in the past two decades, 75 reports including 86 patients were collected and recruited into this study along with a recent case of our own.
The aortic arch aneurysms causing hoarseness were most commonly mycotic aneurysms. In this patient setting, in addition to the left recurrent laryngeal nerve, trachea was the most commonly affected structure by the aortic arch aneurysm. Surgical/interventional/hybrid treatments led to a hoarseness-relieving rate of 64.3%, much higher than that of patients receiving conservative treatment. However, hoarseness recovery took longer time in the surgically treated patients than in the interventionally treated patients.
The surgical and interventional treatments offered similar hoarseness-relieving effects. Surgical or interventional treatment is warranted in such patients for both treatment of arch aneurysms and relief of hoarseness.
概述由主动脉弓动脉瘤引起的奥尔特纳综合征。
通过对过去二十年发表的相关文献进行综合检索，共收集了 75 份报告，包括 86 例患者，并结合我们最近的一个病例进行了研究。
导致声音嘶哑的主动脉弓动脉瘤最常见的是感染性动脉瘤。在这种情况下，除了左喉返神经外，主动脉弓动脉瘤最常累及的结构是气管。手术/介入/杂交治疗的声音嘶哑缓解率为 64.3%，明显高于保守治疗的患者。然而，手术治疗的患者声音嘶哑恢复时间比介入治疗的患者长。
手术和介入治疗的声音嘶哑缓解效果相似。对于这些患者，应进行手术或介入治疗，以治疗弓部动脉瘤并缓解声音嘶哑。
