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Journal of Case Reports
Cardiovocal or Ortner’s Syndrome due to Aortic Arch Pseudoaneurysm

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Manjit Bagul1, Rajesh Mehra1, Priynath Agrawal2
1Consultant Radiologist, Venus Diagnostic Centre, Bhopal; 2Consultant Pulmonologist, Agrawal Hospital, Bhopal, Madhya Pradesh, India.
Corresponding Author:
Dr. Manjit Bagul
Email: manjitbagul84@gmail.com
Received: 23-AUG-2016 Accepted: 30-AUG-2016 Published Online: 05-SEP-2016
DOI: http://dx.doi.org/10.17659/01.2016.0102
Cardiovocal or Ortner’s syndrome is unilateral vocal cord (VC) palsy due to non-malignant intrathoracic or cardio-vascular abnormality causing compression of recurrent laryngeal nerve (RLN) in the mediastinum. Left RLN palsy is more common due to longer mediastinal course along the aortic arch. We describe a case of a 60-year-old male patient complaining of hoarseness of voice. Laryngoscopy showed left vocal cord palsy without obvious laryngeal mass. CECT study of the neck and chest revealed aortic arch pseudo-aneurysm with left vocal cord palsy. The diagnosis of cardiovocal syndrome was confirmed. It is important for the radiologist to be aware of cardiovascular related hoarseness and CECT neck and chest should be included during the evaluation of VC palsy. 
Keywords : Aneurysm, Aorta, Hoarseness, Laryngoscopy, Recurrent Laryngeal Nerve, Vocal Cord Paralysis.
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