Cardiovocal Syndrome And Horner Syndrome Secondary To Aortic Dissection Aneurysm: A Case Report And Review Of The Literature

ObjectiveTo discuss the effects of cardiovocal syndrome and Homer syndrome on the diagnosis and prognosis of aortic dissection aneurysm.MethodsWe retrospectively reviewed a 53-year-old Chinese gentleman presented with voice hoarseness and left facial adiaphoresis for one month duration prior to his referral to our clinic. A chest radiograph showed a widening of the mediastinum, a shift of the trachea to the right and obvious dilated aortic arch. Laryngoscopy revealed left vocal cord palsy with paramedian positioning.3D-CTA revealed dissection of aortic dissection (Stanford B). The patient had no chest or back pain and his initial presentation were hoarseness of voice and left facial adiaphoresis. Then, a timely endovascular repair of aortic dissection aneurysm was performed successfully with a endovascular stent grafts.ResultsThe hematoma around the intimal laceration was obviously decrescent and symptoms of hoarseness of voice and left facial adiaphoresis were also obviously alleviated after 3 months.ConclusionsA number of predisposing conditions are associated with severe aortic dissection, whose presentations are diverse, and prognosis is usually disappointing. Earlier diagnosis, especially for painless aortic dissection aneurysm is the key to improve the prognosis.