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VOLUME 66 , ISSUE 2 ( April-June, 2024 ) > List of Articles

CASE REPORT

Case of Cardio-vocal Syndrome with Dysphagia Aortica: A Rare Entity

Manwinder Singh Walia, Ruchika Bhagat

Keywords : Case report, Cardio-vocal syndrome, Dysphagia aortica, Hoarseness, Ortner syndrome, Unilateral vocal cord paralysis

Citation Information : Walia MS, Bhagat R. Case of Cardio-vocal Syndrome with Dysphagia Aortica: A Rare Entity. Indian J Chest Dis Allied Sci 2024; 66 (2):71-73.

DOI: 10.5005/jp-journals-11007-0112

License: CC BY-NC 4.0

Published Online: 10-07-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Hoarseness is a commonly encountered symptom with several underlying causes ranging from idiopathic to potentially severe diseases. Cardio-vocal syndrome/Ortner syndrome (OS) is a rare entity that presents a challenge due to its tendency to evade detection over prolonged periods. Ortner syndrome, characterized by swallowing difficulty due to extrinsic compression of the esophagus by an atherosclerotic thoracic aorta, further adds to the complexity of the diagnosis. Here we report a case of OS and dysphagia aortica in a 62-year-old male with a history of chronic smoking and cardiovascular comorbidities. This case emphasizes the significance of considering cardiovascular etiologies in unilateral vocal cord paralysis (UVCP) evaluation.


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  1. Rubin AD, Sataloff RT. Vocal fold paresis and paralysis. Otolaryngol Clin North Am 2007;40(5):1109–1131. DOI: 10.1016/j.otc.2007.05.012.
  2. Thirlwall AS. Ortner's syndrome: A centenary review of unilateral recurrent laryngeal nerve palsy secondary to cardiothoracic disease. J Laryngol Otol 1997;111(9):869–871. DOI: 10.1017/s0022215100138848.
  3. Loughran S, Alves C, MacGregor FB. Current aetiology of unilateral vocal fold paralysis in a teaching hospital in the West of Scotland. J Laryngol Otol 2002;116(11):907–910. DOI: 10.1258/00222150260369426.
  4. Ghazanfar H, Shehi E, Makker J, et al. The role of imaging modalities in diagnosing dysphagia: A clinical review. Cureus 2021;13(7):e16786. DOI: 10.7759/cureus.16786.
  5. Song SW, Jun BC, Cho KJ, et al. CT evaluation of vocal cord paralysis due to thoracic diseases: A 10-year retrospective study. Yonsei Med J 2011;52(5):831–837. DOI: 10.3349/ymj.2011.52.5.831.
  6. Verma S, Talwar A, Talwar A, et al. Ortner's syndrome: A systematic review of presentation, diagnosis and management. Intractable Rare Dis Res 2023;12(3):141–147. DOI: 10.5582/irdr.2023.01047.
  7. Fife R, Muir A. Laryngeal paralysis associated with mitral stenosis (Ortner's syndrome): Report of two cases. Glasgow Med J 1955; 36(5):164–167. PMID: 14380803.
  8. Gouveia E Melo R, Silva Duarte G, Lopes A, et al. Incidence and prevalence of thoracic aortic aneurysms: A systematic review and meta-analysis of population-based studies. Semin Thorac Cardiovasc Surg 2022 Spring;34(1):1–16. DOI: 10.1053/j.semtcvs.2021.02.029.
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