Left recurrent laryngeal nerve palsy following aortic arch stenting: A case report

Figure 1 Angiograms in lateral projection (all images, LAO 90°) demonstrating pre-, intra- and post-interventional findings. A: Left aortic arch with bi-carotid trunc and transverse arch hypoplasia with severe native stenosis just proximal to origin of the left subclavian artery; B: Balloon interrogation using an 18 mm Tyshak II that unmasks a relatively high compliance of the stenosis; C: After implantation of a 22 mm Cheatham-Platinum (CP) stent (indicated by black arrow) on 14 mm BiB; D: Re-stenosis proximal of the previously implanted CP stent on follow-up; E: Positioning and implantation of a LD Max 26 mm stent (indicated by white arrow) over the re-stenosis; F: Final result following redilation of both stents with 16 mm Atlas balloon, and proximal stent flaring with 20 mm Cristal balloon.

Figure 2 Time line of the case, with clinical findings highlighted in white, diagnostic work-up in blue, and therapeutic procedures in red.