Thoracic Aortic Aneurysm Presenting as Vocal Cord  Paralysis

Salleh, Norly

doi:10.31436/imjm.v12i1.2006

Cited by 2 publications

(2 citation statements)

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“…Many reported cases of Ortner's syndrome were incidental findings during ear, nose, and throat assessment. 10,11 However, current usage of bedside cardiac ultrasound in the emergency department may help identify this pathology earlier. A consensus statement by the American Society of Echocardiography (ASE) and American College of Emergency Physician (ACEP) emphasized the importance of FOCUS in daily clinical practice and patients' care as well as its significance for diagnostic evaluation in busy emergency department.…”

Section: Discussionmentioning

confidence: 99%

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Ortner’s syndrome: Focused cardiac ultrasound and rapid ultrasound in shock examination at emergency department unfold the life-threatening cause for a cardiovocal condition

Samat

Embong

2018

Hong Kong Journal of Emergency Medicine

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Introduction: Ortner's syndrome is a rare condition, known as cardiovocal condition as patients present with hoarseness of voice due to cardiovascular causes. Case presentation: We present a case of Ortner's syndrome secondary to leaking thoracic aortic aneurysm in a patient who came to emergency department with hypotension and hoarseness of voice for 3 months. Focused cardiac ultrasound (FOCUS) and rapid ultrasound in shock (RUSH) were performed which revealed a thoracic aortic arch aneurysm. Discussion: Focused cardiac ultrasound and rapid ultrasound in shock examination in the emergency department had expedited the diagnosis of this rare condition, hence the subsequent definitive investigation and management. Conclusion: This case highlights the need for high index of suspicion for thoracic aneurysm in patients with unexplained cardiovocal symptoms. It also highlights the importance of point-of-care ultrasound in the emergency department and the significance of utilizing the suprasternal view to look for pathology at the arch of aorta.

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Section: Discussionmentioning

confidence: 99%

“…Many reported cases of Ortner's syndrome were incidental findings during ear, nose, and throat assessment 10 , 11 . However, current usage of bedside cardiac ultrasound in the emergency department may help identify this pathology earlier.…”

Section: Discussionmentioning

confidence: 99%