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

Sang Il Lee; Sung Bom Pyun; Dae Hyun Jang

doi:10.1007/s00455-006-9015-x

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 journal › Article › peer-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 language	English
Pages (from-to)	129-132
Number of pages	4
Journal	Dysphagia
Volume	21
Issue number	2
DOIs	https://doi.org/10.1007/s00455-006-9015-x
Publication status	Published - 2006 Apr
Externally published	Yes

Keywords

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

ASJC Scopus subject areas

Otorhinolaryngology
Gastroenterology
Speech and Hearing

Access to Document

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title = "Dysphagia and hoarseness associated with painless aortic dissection: A rare case of cardiovocal syndrome",

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.",

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AU - Pyun, Sung Bom

AU - Jang, Dae Hyun

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AB - 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.

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KW - Aspiration pneumonia

KW - Deglutition

KW - Deglutition disorders

KW - Dysphagia

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