A Case of Juvenile Thoracic Aortic Aneurysm with Impending Rupture Manifesting with Hoarseness

Patients with emergency diseases, including cardiovascular diseases, sometimes present with hoarseness of the voice. Such cardiovascular diseases occur mostly in the middle-aged or elderly with arteriosclerotic risk factors, and rarely in younger subjects. We encountered a rare case of vocal cord paralysis in a young patient who was eventually diagnosed as having a thoracic aortic aneurysm with impending rupture and required emergency surgery.