title: Dysphagia and hoarseness associated with painless aortic dissection: a rare case of cardiovocal syndrome.
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.
authors.affiliation: Department of Physical Medicine and Rehabilitation, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
authors.forename: Sang-Il
authors.initials: SI
authors.lastname: Lee
authors.forename: Sung-Bom
authors.initials: SB
authors.lastname: Pyun
authors.forename: Dae-Hyun
authors.initials: DH
authors.lastname: Jang
mesh_terms: D000369:Aged, 80 and over; D000784:Aortic Dissection / Q000150:complications* / Q000175:diagnosis; D017545:Aortic Aneurysm, Thoracic / Q000150:complications* / Q000175:diagnosis; D003680:Deglutition Disorders / Q000209:etiology*; D003937:Diagnosis, Differential; D004576:Electromyography; D005471:Fluoroscopy; D006685:Hoarseness / Q000209:etiology*; D006801:Humans; D007828:Laryngoscopy; D008297:Male; D014057:Tomography, X-Ray Computed; D014743:Videotape Recording; D014826:Vocal Cord Paralysis / Q000209:etiology* / Q000503:physiopathology