Korean Circ J.  2021 Apr;51(4):379-381. 10.4070/kcj.2020.0529.

Ortner's Syndrome Discovered by a Routine Echocardiographic Examination: a Huge Aneurysmal Dilatation of the Aortic Arch as a Cause of Hoarseness

• Jeong JO
• Park YS
• Park JH

• KMID: 2514644
• DOI: http://doi.org/10.4070/kcj.2020.0529

Figure

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  Figure 1 Chest X-ray shows an abnormally round shadow above the aortic knob (A, arrows) and rightward deviation of the trachea. Echocardiographic examination reveals about 55×42 mm sized oval-shaped mass lesion was noted on the aortic arch filled with an echogenic lesion suggesting thrombus (B, arrow heads). Illustration shows aneurysmal dilatation on the aortic arch with compression of the left recurrent laryngeal nerve (C).Asc Ao = ascending aorta; LSA = left subclavian artery; Dsc Ao = descending aorta.

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  Figure 2 Contrast-enahced computerized tomography demonstrates about 65×60 mm sized large saccular aneurysm on the aortic arch filled with mural thrombus near the origin of left subclavian artery.LSA = left subclavian artery.

Reference

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