Ortner’s syndrome: a case report and literature review

Dutra, Bruno Landim; Campos, Lenilton da Costa; Marques, Hélder de Castro; Vilela, Vagner Moysés; Carvalho, Rodolfo Elias Diniz da Silva; Duque, André Geraldo da Silva

doi:10.1590/0100-3984.2013.1836

Cited by 11 publications

(12 citation statements)

References 6 publications

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“…When symptomatic, they usually present with chest pain. Hoarseness as a symptom without chest pain in a case of aortic aneurysm is a rare presentation [8]. In this case, the patient presented with hoarseness of voice secondary to compression of the left recurrent laryngeal nerve palsy by saccular aneurysm arising from the thoracic aorta.…”

Section: Discussionmentioning

confidence: 88%

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Cardiovocal Syndrome Secondary to Thoracic Aortic Aneurysm: An Old Sign Revisited

Agarwal

Vijay

Kumar

et al. 2020

Cureus

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A 56-year-old male, chronic smoker, presented with persistent dry cough, hoarseness of voice and difficulty in swallowing. Indirect laryngoscopy revealed left vocal cord paralysis. Further evaluation revealed eccentric saccular aneurysms arising from the aortic arch and descending thoracic aorta, compressing the trachea, esophagus, left atrium and left recurrent laryngeal nerve. The patient was diagnosed with Ortner's syndrome which is an uncommon presentation of aortic aneurysm. He awaits an endovascular aorta aneurysm repair.

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Section: Discussionmentioning

confidence: 88%

“…Cases of Ortner's syndrome due to aortic aneurysms have been reported in the literature [7][8][9][10][11]. Thoracic aortic aneurysms are usually asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Cardiovocal Syndrome Secondary to Thoracic Aortic Aneurysm: An Old Sign Revisited

Agarwal

Vijay

Kumar

et al. 2020

Cureus

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“…The tomographic findings of vocal cord paralysis are: paramedian thickening of the ipsilateral aryepiglottic fold, piriform sinus volume increase, anteromedial positioning of the arytenoid cartilage, paramedian position of the vocal cord. In the coronal plane, rectification of the subglottic arch can be observed [3].…”

Section: Resultsmentioning

confidence: 99%

“…A study summarized the main mediastinal differential diagnoses concerning recurrent laryngeal nerve involvement. In Table 2 below are the main differential diagnoses listed by the authors [3].…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Ortner’s Syndrome

Kyaga¹,

Souza²,

Almeida³

et al. 2018

UCMS

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Ortner's syndrome, also known as the syndrome cardiovocal, is characterized by the compression, stretching or dissection of recurrent laryngeal nerve, secondarily caused by cardiovascular abnormal. Through a systematic review about the issue, on the main bases data, we named the main aspects which go around the syndrome, from its symptoms to its treatments based on its different causes, such as, valvar mitral stenosis, aortic aneurysm among others whose effect brings about a compression of the recurrent laryngeal nerve. Therefore, the left recurrent laryngeal nerve is more affected because of its anatomical position. Due to its path surrounding aortic arch and passing between pulmonary artery and aortic arch, it has a greater chance to compression. Its clinical importance is related to differential diagnosis which is also connected to many different pathologies such as neoplasia (pulmonary, thyroid, mediastinal, esophageal) and surgical iatrogenic causes which may affect the recurrent laryngeal nerve causing various symptoms related to this involvement.

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“…Compression of the esophagus and trachea can lead to dysphagia, retrosternal pain, cough, and dyspnea. Compression and palsy of the recurrent laryngeal nerve, called Ortner syndrome, leads to hoarseness 2 . Surgical repair of vascular rings is not typically indicated unless the patient is symptomatic or imaging suggests aneurysmal changes 3 .…”

Section: Discussionmentioning

confidence: 99%

Hybrid repair of an adult with a double aortic arch, coarctation of the aorta, and left subclavian artery aneurysm

Bell

McKinney²,

Salazar

et al. 2019

Journal of Vascular Surgery Cases, Innovations and Techniques

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We report the repair of a double aortic arch, coarctation of the aorta, and left subclavian artery (LSCA) aneurysm using a hybrid procedure in a 47-year-old woman. The patient underwent repair through a median sternotomy incision to bypass the left common carotid artery and LSCA. An endovascular approach was used to repair the coarctation of the aorta and to occlude the right aortic arch. Repair of this anomaly was advised because of worsening clinical symptoms and potential for fatal rupture or dissection of the LSCA aneurysm. Hybrid repair simplified what would have required a multistage open repair.

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Ortner’s syndrome: a case report and literature review

Cited by 11 publications

References 6 publications

Cardiovocal Syndrome Secondary to Thoracic Aortic Aneurysm: An Old Sign Revisited

Cardiovocal Syndrome Secondary to Thoracic Aortic Aneurysm: An Old Sign Revisited

A Systematic Review of Ortner’s Syndrome

Hybrid repair of an adult with a double aortic arch, coarctation of the aorta, and left subclavian artery aneurysm

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