Left vocal cord paralysis secondary to pseudocoarctation of the aorta

Discussion:

This is a case of pseudocoarctation of the aorta with secondary left vocal cord paralysis. The dilated descending segment of the aorta obliterates the aortopulmonary window posterior to the ligamentum arteriosum. The left vocal paralysis may arise from compression of the left recurrent laryngeal nerve as it passes within obliterated aortopulmonary window posterior to the ligamentum arteriosum (Ortner's syndrome or cardiovocal syndrome).

 

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