Ortner’s syndrome with left vocal cord paralysis secondary to thoracic aortic aneurysm: A case report
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Abstract
Ortner’s syndrome or cardiovocal syndrome is a rare condition caused by compression of the left recurrent laryngeal nerve (RLN) by thoracic aortic aneurysm. We report a case of a 78-year-old Thai female who had been complaining of hoarseness of voice for 2-3 weeks. Physical exam demonstrated evidence of left vocal cord paralysis without any suspicious mucosal lesions or palpable neck mass. Initial work up with chest radiograph showed a lobulated soft tissue mass at left superior mediastinum which was subsequently found to be a 6.7-cm saccular aneurysm with mural thrombus and extending into aortopulmonary window on chest CT scan. The aneurysm compressed the expected course of the left RLN, resulting in left vocal cord paralysis. She underwent thoracic endovascular aortic repair (TEVAR). In advanced age patients with hoarseness, aside from malignancy, rare but potentially life threatening causes such as Ortner’s syndrome should also be considered in the differential diagnosis.
Abbreviations: RLN = Recurrent laryngeal nerve, TEVAR = Thoracic endovascular aortic repair, AP window = aortopulmonary window
Keywords: Ortner’s syndrome, thoracic aortic aneurysm, recurrent laryngeal nerve, vocal cord paralysis.
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ต้นฉบับที่ส่งมาพิจารณายังวารสารหู คอ จมูก และใบหน้า จะต้องไม่อยู่ในการพิจารณาของวารสารอื่น ในขณะเดียวกันต้นฉบับที่จะส่งมาจะผ่านการอ่านโดยผู้ทรงคุณวุฒิ หากมีการวิจารณ์หรือแก้ไขจะส่งกลับไปให้ผู้เขียนตรวจสอบแก้ไขอีกครั้ง ต้นฉบับที่ผ่านการพิจารณาให้ลงตีพิมพ์ถือเป็นสมบัติของวารสารหู คอ จมูกและใบหน้า ไม่อาจนำไปลงตีพิมพ์ที่อื่นโดยไม่ได้รับอนุญาต
ตารางแผนภูมิ รูปภาพ หรือข้อความเกิน 100 คำที่คัดลอกมาจากบทความของผู้อื่น จะต้องมีใบยินยอมจากผู้เขียนหรือผู้ทรงลิขสิทธิ์นั้นๆ และใหร้ะบุกำกับไว้ในเนื้อเรื่องด้วย
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