Vocal fold paralysis in painless aortic dissection (Ortner's syndrome). (Imaging Clinic).
A 79-year-old man had his vocal fold mobility documented as normal at a major university center following the latest of his two coronary artery bypass graft surgeries in 1998. He returned 2 years later complaining of hoarseness, but no other symptoms. His dysphonia, which had resolved after each of his previous two operations, had returned. On physical examination, a left vocal fold paralysis was observed. Computed tomography (CT) of the chest revealed a dissecting aortic aneurysm (figure), which suggested a recurrent laryngeal nerve injury that was caused by the stretching of the nerve around a slowly expanding aortic arch. This was a chronic and painless disease process. The patient was referred to a cardiologist, who prescribed treatment based on the chronic nature of his condition and the patient's overall health.
Khan IA, Wattanasauwan N, Ansari AW. Painless aortic dissection presenting as hoarseness of voice: Cardiovocal syndrome: Ortner's syndrome. Am J Emerg Med 1999;17:361-3.
Kishan CV, Wongpraparut N, Adeleke K, et al. Ortner's syndrome in association with mitral valve prolapse. Clin Cardiol 2000;23:295-7.
Thirlwall AS. Ortner's syndrome: A centenary review of unilateral recurrent laryngeal nerve palsy secondary to cardiothoracic disease. J Laryngol Otol 1997;111:869-71.
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|Comment:||Vocal fold paralysis in painless aortic dissection (Ortner's syndrome). (Imaging Clinic).|
|Author:||Valvassori, Galdino E.|
|Publication:||Ear, Nose and Throat Journal|
|Article Type:||Brief Article|
|Date:||Nov 1, 2001|
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