Thoracic aortic aneurysm presenting only as vocal cord paralysis.

We present a case of unilateral vocal cord paralysis in a 76-year-old Saudi male presenting with hoarseness of voice caused by thoracic aortic aneurysm. Here, we are illustrating a rare entity of thoracic aortic aneurysm presenting only with hoarseness of voice to draw attention to unusual clinical manifestations of this serious underlying aortic pathology.