ABSTRACT
Chronic cough has a wide differential, of which thoracic aortic aneurysm is a rare but potentially devastating cause. We present a patient with previous aortic valve replacement for a bicuspid valve who had been suffering from a chronic cough for 8â months and who developed subsequent voice hoarseness. This had been initially managed in the community with trials of steroid inhalers, steroid nasal sprays and proton pump inhibitors to no avail. He was referred to cardiology and chest clinics. An urgent CT aortogram was requested given his widened mediastinum on chest radiograph, cardiac history of bicuspid valve and symptoms. This revealed a large aneurysm of the thoracic aorta with chronic dissection that required urgent operative intervention. His cough resolved 6â weeks postoperatively. The purpose of this report is to highlight thoracic aortic aneurysms as a potential rare differential for chronic cough and as a complication of patients with bicuspid aortic valves.
Subject(s)
Aortic Aneurysm, Thoracic/complications , Aortic Dissection/complications , Aortic Valve/abnormalities , Cough/etiology , Heart Valve Diseases/complications , Aged , Aortic Dissection/diagnosis , Aortic Dissection/surgery , Aortic Aneurysm, Thoracic/diagnosis , Aortic Aneurysm, Thoracic/surgery , Aortography , Bicuspid Aortic Valve Disease , Chronic Disease , Cough/diagnosis , Diagnosis, Differential , Heart Valve Diseases/diagnosis , Humans , Imaging, Three-Dimensional , Male , Tomography, X-Ray Computed , Vascular Surgical Procedures/methodsABSTRACT
Pleomorphic adenoma arising from submucosal minor salivary gland tissue in the head and neck is well described in the published literature. Where associated bone changes are present, benign-appearing bone remodelling is the rule, reflecting the slow growth of this benign tumour. Aggressive-appearing bone destruction was observed in this case. This atypical appearance has not been widely described.
