title: Ortner's syndrome: a case report and review of the literature.
abstract: We present a case of a 67-year-old man who was an active smoker, with a clinical history of ischaemic cardiopathy, hypertension, who presented to the emergency room with hoarseness of voice of 2 weeks duration. No other neurological or cardiorespiratory symptoms were found. Physical examination revealed an aortic regurgitation murmur with radial pulse difference between the upper limbs and femoral pulse difference on lower limbs. Laryngoscopy examination revealed a left vocal cord paralysis in the paramedian position, without signs of malignancy. Thoracoabdominal CT angiography was performed to rule out an aortic dissection. CT revealed a dissection in the descending thoracic aortic arch and abdominal aorta. Cardiovascular surgery was consulted and decided to place endoprosthesis at the thoracic and abdominal aortic area. Hoarseness eventually resolved during the following weeks. Ortner's syndrome is described as hoarseness of voice caused by compression of the left recurrent laryngeal nerve of cardiovascular origin.
authors.affiliation: Department of Nephrology, Reina Sofia Hospital, Córdoba, Spain.
authors.forename: A R
authors.initials: AR
authors.lastname: Hurtarte Sandoval
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery Service, Reina Sofia Hospital, Córdoba, Spain.
authors.forename: R
authors.initials: R
authors.lastname: Carlos Zamora
authors.affiliation: Department of Nephrology, Reina Sofia Hospital, Córdoba, Spain.
authors.forename: J M
authors.initials: JM
authors.lastname: Gómez Carrasco
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery Service, Reina Sofia Hospital, Córdoba, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Jurado Ramos
mesh_terms: D000368:Aged; D000784:Aortic Dissection / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D000792:Angiography; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology; D003937:Diagnosis, Differential; D006685:Hoarseness / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D006801:Humans; D007828:Laryngoscopy; D008297:Male; D011379:Prognosis; D012009:Recurrent Laryngeal Nerve / Q000473:pathology*; D013577:Syndrome; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014826:Vocal Cord Paralysis / Q000209:etiology / Q000473:pathology*