An 81-year-old man with a medical history of hypertension, hyperlipidaemia, chronic kidney disease, coronary artery disease presented to the ear, nose and throat (ENT) physician with symptoms of hoarseness of voice which had persisted for over 6 weeks. Otolaryngoscopy was negative for obvious malignancy and he was diagnosed as having left vocal cord paralysis with a suspicion of thoracic aorta pathology. CT angiogram showed type B dissecting aortic aneurysm …