Dysphagia and hoarseness associated with painless aortic dissection: A rare case of cardiovocal syndrome

Sang Il Lee, Sung Bom Pyun, Dae Hyun Jang

Research output: Contribution to journalArticlepeer-review

28 Citations (Scopus)

Abstract

Cardiovocal syndrome (Ortner's syndrome) is characterized by left recurrent laryngeal nerve palsy due to cardiovascular disease, but in rare cases it can also be caused by aortic dissection. An 81-year-old man with hypertension was admitted to the hospital with aspiration pneumonia. He had been developing progressive dysphagia and hoarseness for several months before admission. A videofluoroscopic swallowing study showed supraglottic penetration with barium paste and liquid. Laryngoscopy and electromyography revealed left vocal cord palsy caused by left recurrent laryngeal neuropathy, and a contrast-enhanced chest CT revealed dissection of the aortic arch.

Original languageEnglish
Pages (from-to)129-132
Number of pages4
JournalDysphagia
Volume21
Issue number2
DOIs
Publication statusPublished - 2006 Apr
Externally publishedYes

Keywords

  • Aortic dissection
  • Aspiration pneumonia
  • Deglutition
  • Deglutition disorders
  • Dysphagia
  • Hoarseness
  • Recurrent laryngeal nerve palsy

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Gastroenterology
  • Speech and Hearing

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