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Case Report: Spontaneous aneurysm of ductus arteriosus: A rare cause of hoarseness of voice in adults.

Gothi R, Ghonge NP - Indian J Radiol Imaging (2008)

Bottom Line: Ortner's syndrome (left recurrent laryngeal nerve palsy caused by cardiovascular pathology) is described in literature as occurring secondary to a variety of conditions.Spontaneous aneurysm of ductus arteriosus is a rare cause of this condition.We present a case where an adult patient with an aneurysm of the ductus arteriosus presented for the first time at the age of 62 years with hoarseness of voice secondary to left recurrent laryngeal nerve palsy.

View Article: PubMed Central - PubMed

Affiliation: Body Imaging Division, Department of Radio-Diagnosis, Diwan Chand Imaging Research Center, 10 B, KG Marg, New Delhi-110 001, India.

ABSTRACT
Ortner's syndrome (left recurrent laryngeal nerve palsy caused by cardiovascular pathology) is described in literature as occurring secondary to a variety of conditions. Spontaneous aneurysm of ductus arteriosus is a rare cause of this condition. We present a case where an adult patient with an aneurysm of the ductus arteriosus presented for the first time at the age of 62 years with hoarseness of voice secondary to left recurrent laryngeal nerve palsy.

No MeSH data available.


Related in: MedlinePlus

Sagittal reformatted (A) and axial (B) contrastenhanced CT scan of the chest shows a wide-necked luminal outpouching along the inferior aspect of the aortic arch (thick arrow) in the aorto-pulmonary window. The main pulmonary artery shows mild dilatation and indentation by the aneurysm in its distal part (thin arrow). The thoracic aorta shows normal caliber without any significant atherosclerotic changes. The ‘three-vessel’ appearance seen in B is also referred to as the ‘triple-star sign.’
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Figure 0001: Sagittal reformatted (A) and axial (B) contrastenhanced CT scan of the chest shows a wide-necked luminal outpouching along the inferior aspect of the aortic arch (thick arrow) in the aorto-pulmonary window. The main pulmonary artery shows mild dilatation and indentation by the aneurysm in its distal part (thin arrow). The thoracic aorta shows normal caliber without any significant atherosclerotic changes. The ‘three-vessel’ appearance seen in B is also referred to as the ‘triple-star sign.’

Mentions: A CT scan of the chest showed a luminal out-pouching along the inferior surface of the aortic arch. The characteristic location of the out-pouching in the aortopulmonary window suggested the diagnosis of a ductus arteriosus aneurysm. The saccular aneurysm measured approximately 3 cm in diameter and showed a wide neck, without any intraluminal thrombus. The aneurysm showed a distinct bulge toward the main pulmonary artery and appeared thick-walled [Figure 1a]. There were no signs of contrast extravasation. There was mild indentation over the adjacent main pulmonary artery without any definite mass effect on the adjacent airways. Mild dilatation of the main pulmonary artery was however noted [Figure 1b]. No definite pleuroparenchymal lesion in the lung or any cardiac lesion was identified. No significant atherosclerotic changes were identified in the thoracic aorta.


Case Report: Spontaneous aneurysm of ductus arteriosus: A rare cause of hoarseness of voice in adults.

Gothi R, Ghonge NP - Indian J Radiol Imaging (2008)

Sagittal reformatted (A) and axial (B) contrastenhanced CT scan of the chest shows a wide-necked luminal outpouching along the inferior aspect of the aortic arch (thick arrow) in the aorto-pulmonary window. The main pulmonary artery shows mild dilatation and indentation by the aneurysm in its distal part (thin arrow). The thoracic aorta shows normal caliber without any significant atherosclerotic changes. The ‘three-vessel’ appearance seen in B is also referred to as the ‘triple-star sign.’
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2747459&req=5

Figure 0001: Sagittal reformatted (A) and axial (B) contrastenhanced CT scan of the chest shows a wide-necked luminal outpouching along the inferior aspect of the aortic arch (thick arrow) in the aorto-pulmonary window. The main pulmonary artery shows mild dilatation and indentation by the aneurysm in its distal part (thin arrow). The thoracic aorta shows normal caliber without any significant atherosclerotic changes. The ‘three-vessel’ appearance seen in B is also referred to as the ‘triple-star sign.’
Mentions: A CT scan of the chest showed a luminal out-pouching along the inferior surface of the aortic arch. The characteristic location of the out-pouching in the aortopulmonary window suggested the diagnosis of a ductus arteriosus aneurysm. The saccular aneurysm measured approximately 3 cm in diameter and showed a wide neck, without any intraluminal thrombus. The aneurysm showed a distinct bulge toward the main pulmonary artery and appeared thick-walled [Figure 1a]. There were no signs of contrast extravasation. There was mild indentation over the adjacent main pulmonary artery without any definite mass effect on the adjacent airways. Mild dilatation of the main pulmonary artery was however noted [Figure 1b]. No definite pleuroparenchymal lesion in the lung or any cardiac lesion was identified. No significant atherosclerotic changes were identified in the thoracic aorta.

Bottom Line: Ortner's syndrome (left recurrent laryngeal nerve palsy caused by cardiovascular pathology) is described in literature as occurring secondary to a variety of conditions.Spontaneous aneurysm of ductus arteriosus is a rare cause of this condition.We present a case where an adult patient with an aneurysm of the ductus arteriosus presented for the first time at the age of 62 years with hoarseness of voice secondary to left recurrent laryngeal nerve palsy.

View Article: PubMed Central - PubMed

Affiliation: Body Imaging Division, Department of Radio-Diagnosis, Diwan Chand Imaging Research Center, 10 B, KG Marg, New Delhi-110 001, India.

ABSTRACT
Ortner's syndrome (left recurrent laryngeal nerve palsy caused by cardiovascular pathology) is described in literature as occurring secondary to a variety of conditions. Spontaneous aneurysm of ductus arteriosus is a rare cause of this condition. We present a case where an adult patient with an aneurysm of the ductus arteriosus presented for the first time at the age of 62 years with hoarseness of voice secondary to left recurrent laryngeal nerve palsy.

No MeSH data available.


Related in: MedlinePlus