Ascending aortic aneurysm causing hoarse voice: a variant of Ortner's syndrome: Figure 1

Eccles, Sinan R.; Banks, John; Kumar, Pankaj

doi:10.1136/bcr-2012-007111

Cited by 10 publications

(6 citation statements)

References 10 publications

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“…There are few published articles regarding patients with aortic dissection presenting with Ortner syndrome [1,2]. Our patient also had hoarseness of voice for the past one year.…”

Section: Discussionmentioning

confidence: 75%

Pneumothorax with Ortner syndrome: an unusual presentation of aortic dissection

Ramarmuty

Kannan

2021

Respirology Case Reports

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Ortner syndrome or cardiovocal syndrome is hoarseness of voice due to left recurrent laryngeal nerve palsy as a result of cardiovascular abnormality. It is not known that pneumothorax has any association with Ortner syndrome. A 56-year-old gentleman, with previous history of 20 pack-year smoking and 1-year history of hypertension, presented to us with cough for two weeks with intermittent haemoptysis, as well as hoarseness of voice for the past one year. Direct laryngoscopy confirmed that he had left vocal cord palsy. Clinical and radiological investigations suggested that he had left pneumothorax. Left chest tube thoracostomy was performed and computed tomography of chest revealed aortic isthmus aneurysm with dissection extending to distal left common iliac artery and residual left hydropneumothorax. The patient was then referred to the vascular team and cardiothoracic team for further management.

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“…There are few published articles regarding patients with aortic dissection presenting with Ortner syndrome [1,2]. Our patient also had hoarseness of voice for the past one year.…”

Section: Discussionmentioning

confidence: 75%

Pneumothorax with Ortner syndrome: an unusual presentation of aortic dissection

Ramarmuty

Kannan

2021

Respirology Case Reports

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“…Most vocal cord paralysis is due to neoplasia, followed by iatrogenic procedures, and the intracranial diseases or aortic diseases need to be considered too. In aortic disease, in addition to TAA, mycotic aneurysm and aortic dissection may also cause hoarseness, and most of the latter two have other symptoms 2,4,6 . Most TAAs are asymptomatic, but part of TAA patients may have other symptoms include dysphagia due to compression of the oesophagus and breathing di culties due to incomplete opening of the glottis 7 .…”

Section: Discussionmentioning

confidence: 99%

Ortner’s syndrome secondary to thoracic aortic aneurysm: a case series

Zhang

Feng

Chen

et al. 2021

Preprint

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Background: Ortner syndrome refers to vocal cord paralysis resulting from compression of the left recurrent laryngeal nerve by abnormal mediastinal vascular structures. This retrospective case series details our experience with Ortner’s syndrome due to thoracic aortic aneurysm. Methods: This study was a retrospective analysis of a case series. A total of 4 patients (mean age, 65.5 years) with Ortner’s syndrome due to thoracic aortic aneurysm who underwent thoracic endovascular aortic repair from July 2014 to May 2020. The patients’ demographics, comorbidities, initial symptoms, time from hoarseness to treatment, aneurysm shape and size, surgical procedures and outcome were summarized. Results: A total of 4 patients with Ortner’s syndrome due to thoracic aortic aneurysm were analyzed. All of them underwent thoracic endovascular aortic repair with no complication during hospitalization period. At a mean follow-up of 26.8 (8-77) months, 3 patients’ hoarseness had completely resolved or improved, one patient’s symptoms had not progressed. Conclusions: Hoarseness due to left recurrent laryngeal nerve palsy can be the presenting symptom of thoracic aortic aneurysm. Early diagnosis leads to timely treatment of these patient which may be helpful to functional recovery of the symptoms.

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“…This case highlights a variant of Ortner syndrome; LRLN palsy due to any cardiovascular abnormality. 4 A variety of cardiovascular causes of LRLN palsy have been described in the literature with most cases due to compression of the nerve structures bounding the aortopulmonary window. 5 Penetrating aortic ulcer with pseudoaneurysm of the aortic arch and/or proximal descending thoracic aorta is an extremely rare cause of Ortner syndrome.…”

Section: Discussionmentioning

confidence: 99%

Hoarseness Caused by a Penetrating Proximal Descending Thoracic Aortic Ulcer and Pseudoaneurysm

Gupta

Bham

Osofsky

et al. 2020

Vasc Endovascular Surg

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We present a case of an 87-year-old female with new-onset hoarseness of unclear etiology. Imaging demonstrated a penetrating aortic ulcer (PAU) in the proximal descending thoracic aorta with an associated pseudoaneurysm that enlarged to a depth of 32 mm over 2 years. This patient was diagnosed with hoarseness being secondary to left recurrent laryngeal nerve (LRLN) palsy, a variant of Ortner syndrome. Patient was treated with endovascular stent-grafting successfully covering of the PAU and pseudoaneurysm with zone 3 proximal landing zone. The patient had moderate improvement in hoarseness after 1 year of follow-up. Endovascular repair is indicated for symptomatic patients with PAUs complicated by enlarging pseudoaneurysms or rupture. Endovascular treatment is effective with low procedural morbidity and mortality. In this case, the PAU and associated pseudoaneurysm at the level of the ligamentum arteriosum caused compression on the LRLN, resulting in a nerve palsy and hoarseness. This case highlights the importance of vascular imaging for patients presenting with unclear etiology of hoarseness or other signs of LRLN palsy. Therefore, aortic arch abnormalities, a variant of Ortner syndrome, even though rare, should be on the differential diagnosis of new onset hoarseness.

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Ascending aortic aneurysm causing hoarse voice: a variant of Ortner's syndrome: Figure 1

Cited by 10 publications

References 10 publications

Pneumothorax with Ortner syndrome: an unusual presentation of aortic dissection

Pneumothorax with Ortner syndrome: an unusual presentation of aortic dissection

Ortner’s syndrome secondary to thoracic aortic aneurysm: a case series

Hoarseness Caused by a Penetrating Proximal Descending Thoracic Aortic Ulcer and Pseudoaneurysm

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