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  • Title: Dysphagia and hoarseness associated with painless aortic dissection: a rare case of cardiovocal syndrome.
    Author: Lee SI, Pyun SB, Jang DH.
    Journal: Dysphagia; 2006 Apr; 21(2):129-32. PubMed ID: 16763937.
    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.
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