Intrathoracic segment of the subclavian artery is an unusual location for peripheral arterial aneurysms. They are normally caused by atherosclerosis, medial degeneration, trauma, and infection. We report a case of a patient with right subclavian artery aneurysm presenting with hoarseness. Chest radiograph demonstrated a superior mediastinal mass. Laryngoscopy showed a fixed right vocal cord. By chest computed tomography, magnetic resonance imaging, and angiography, preoperative diagnosis was established as a saccular aneurysm with afferent loop and efferent loop. Patient underwent complete resection of the aneurysm followed by endto-end anastomosis via median sternotomy. Postoperative pathology was consistent with an atherosclerotic aneurysm filled with thrombus. After surgical operation, hoarseness is still continued.
Aged ; Aortic Aneurysm, Thoracic/complications/*pathology ; Female ; Hoarseness/etiology/*pathology ; Humans ; Magnetic Resonance Imaging/methods ; Subclavian Artery/*pathology/radiography

Summary A 36 years old patient with hoarseness for 2 years and got worsen for one month, electronic laryngoscopy showed a red smooth-faced wide based neoplasm on the posterior 2/3 of the right side of the vocal cords. The neoplasm was excised under suspension laryngoscope . The pathologic results showed:Cells were weave patterned, infiltrative growth, mitotic figure was rare. Immunohistochemical results showed CD34 (-), SMA (-), DM (-), S - 100 (+). The pathological diagnosis was plexiform schwannoma.
Adult ; Hoarseness ; etiology ; Humans ; Laryngeal Neoplasms ; complications ; diagnosis ; surgery ; Laryngoscopes ; Laryngoscopy ; Neurilemmoma ; complications ; diagnosis ; surgery ; Syndrome ; Vocal Cords ; pathology

OBJECTIVE: To evaluate clinical characteristics of distribution of causes of hoarseness in the Han and the Uighur. METHOD: The date of 933 cases of hoarseness in different ages, which included 654 cases of the Han and 279 cases of the Uighur, were analyzed with laryngofiberoscope. They were divided into different age groups and were compared. RESULT: The common causes of hoarseness of the Han, which occupied 90.1% of its all cases, were polyp of vocal cord (31.8%), chronic laryngitis (24.9%), vocal nodule (12.2%), carcinoma of larynx (11.2%), paralysis of vocal cord (9.9%); While that of the Uighur, which occupy 96.4% of its all cases, were chronic laryngitis (27.2%), paralysis of vocal cord (21.1%), polyp of vocal cord (19.4%), carcinoma of larynx (12.9%), laryngeal papillomatosis (7.9%), vocal nodule (7.9%), there was significant difference between them (chi2=73.19, P < 0.01) and significant difference between them in distribution of polyp of vocal cord,paralysis of vocal cord and laryngeal papillomatosis (P < 0.01). There also significant difference among 2 to 20 years old group, 21 to 40 years old group and 41 to 60 years old group. However 61 to 85 years old group was excepted. CONCLUSION There was difference in distribution of causes of hoarseness between the Han and the Uighur, which was also different in different ages of them. The main causes of hoarseness in the Han were chronic laryngitis and vocal nodule in children and teenagers,polyp of vocal cord and chronic laryngitis in youth and adult, while in the Uighur, they were chronic laryngitis and laryngeal papillomatosis in children and teenagers, chronic laryngitis, polyp of vocal cord and paralysis of vocal cord in youth and adult; In the aged, there was no Statistical difference between the two nations, and the major cause was carcinoma of larynx and paralysis of vocal cord.
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Child, Preschool ; China ; Demography ; Female ; Hoarseness ; ethnology ; etiology ; Humans ; Laryngeal Diseases ; ethnology ; etiology ; Male ; Middle Aged ; Vocal Cords ; pathology ; Young Adult