Rare op saves man with cardiac issue
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Kolkata: A rare cardiac surgery at a private hospital saved the life of a 72-year-old man who had an 'aortic bulge'—a swelling or enlargement—in the major blood vessel (aorta) inside the chest.
This bulge was dangerously close to key arteries that supply blood to the brain and arms, making the condition potentially life-threatening. This unusual condition, known as Ortner's Syndrome or Cardio-vocal syndrome, affects 1% to 3% of cardiac patients in India, making it one of the rarest cases. A Thoracic Endovascular Aneurysm Repair (TEVAR) procedure was performed to cure the bulge, called an aneurysm, which had pressed a nerve controlling the voice box, causing the patient's voice to become hoarse.
Rabindra Kumar Sarkar, the patient, who is also diabetic and hypertensive, was wheeled into Manipal Hospital Dhakuria on May 25 with chest pain and a hoarse voice. While doctors found the second symptom unusual, a CT aortography was conducted, revealing the rare bulge. It was decided that a TEVAR would be performed to treat the bulge.
"This case was difficult as the aneurysm was found in a very tricky spot, just next to the left subclavian artery (the major blood vessel that supplies blood to the upper limbs, as well as parts of the neck and head) in the descending thoracic aorta, which is a sensitive area, close to major arteries that supply blood to the brain and arms," said Kaushik Mukherjee, head of Cardiothoracic and Vascular Surgery (CTVS), who supervised the procedure along with Shubhabrata Banerjee, consultant vascular surgeon.
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Despite the high-risk location, the clinicians successfully deployed a stent graft without open-heart surgery or additional bypass. The aneurysm was sealed, and critical vessels remained untouched. The patient underwent the surgery on May 26 and was discharged within two days.
The patient said he consulted several physicians, including an ENT specialist, but none could treat the hoarseness of his voice. "
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