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Dysphagia and hoarseness associated with painless aortic dissection: A rare case of cardiovocal syndrome

Authors
Lee S.-I.Pyun S.-B.Jang D.-H.
Issue Date
2006
Keywords
Aortic dissection; Aspiration pneumonia; Deglutition; Deglutition disorders; Dysphagia; Hoarseness; Recurrent laryngeal nerve palsy
Citation
Dysphagia, v.21, no.2, pp 129 - 132
Pages
4
Indexed
SCOPUS
Journal Title
Dysphagia
Volume
21
Number
2
Start Page
129
End Page
132
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/19300
DOI
10.1007/s00455-006-9015-x
ISSN
0179-051X
1432-0460
Abstract
Cardiovocal syndrome (Ortner's syndrome) is characterized by left recurrent laryngeal nerve palsy due to cardiovascular disease, but in rare cases it can also be caused by aortic dissection. An 81-year-old man with hypertension was admitted to the hospital with aspiration pneumonia. He had been developing progressive dysphagia and hoarseness for several months before admission. A videofluoroscopic swallowing study showed supraglottic penetration with barium paste and liquid. Laryngoscopy and electromyography revealed left vocal cord palsy caused by left recurrent laryngeal neuropathy, and a contrast-enhanced chest CT revealed dissection of the aortic arch. © Springer Science+Business Media, Inc. 2006.
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Anam Hospital (Department of Physical Medicine and Rehabilitation, Anam Hospital)
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