AORTIC ANEURYSM: A RARE CAUSE OF ORTNER’S SYNDROME
A 60 year old male patient presented with hoarseness of voice lasting for 2 months. First he was examined by the otorhinolaryngologist of our hospital, who noticed absence of movements of the left vocal cord. Chest X-ray showed a large opacity in the left upper zone and the patient was referred to t...
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Published in | Journal of evolution of medical and dental sciences Vol. 3; no. 58; pp. 13199 - 13202 |
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Main Authors | , , , , |
Format | Journal Article |
Language | English |
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Akshantala Enterprises Private Limited
03.11.2014
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Abstract | A 60 year old male patient presented with hoarseness of voice lasting for 2 months. First he was examined by the otorhinolaryngologist of our hospital, who noticed absence of movements of the left vocal cord. Chest X-ray showed a large opacity in the left upper zone and the patient was referred to the pulmonologist. His general physical examination was unremarkable not having any stigmata of Marfan's or Ehler Danlos syndrome. On chest auscultation, a systolic flow murmur was audible and there was decreased breath sound in the left infraclavicular area. Bronchoscopy revealed absence of movement of left vocal cord. His trans-thoracic echocardiography revealed degenerative aortic and mitral valve disease with mild aortic regurgitation and mild mitral regurgitation with dilated aortic aneurysm. A contrast enhanced CT scan of thorax and CT Angio Aortogram revealed fusiform aneurysmal dilatation of the arch of aorta with diameter of 6.2 cm over a length of 12.3 cm showing intraluminal partial thrombus with wall calcification. The patient was advised to undergo surgery. However, after detailed discussion with him and his family, they decided for medical management in view of his advanced age. |
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AbstractList | A 60 year old male patient presented with hoarseness of voice lasting for 2 months. First he was examined by the otorhinolaryngologist of our hospital, who noticed absence of movements of the left vocal cord. Chest X-ray showed a large opacity in the left upper zone and the patient was referred to the pulmonologist. His general physical examination was unremarkable not having any stigmata of Marfan's or Ehler Danlos syndrome. On chest auscultation, a systolic flow murmur was audible and there was decreased breath sound in the left infraclavicular area. Bronchoscopy revealed absence of movement of left vocal cord. His trans-thoracic echocardiography revealed degenerative aortic and mitral valve disease with mild aortic regurgitation and mild mitral regurgitation with dilated aortic aneurysm. A contrast enhanced CT scan of thorax and CT Angio Aortogram revealed fusiform aneurysmal dilatation of the arch of aorta with diameter of 6.2 cm over a length of 12.3 cm showing intraluminal partial thrombus with wall calcification. The patient was advised to undergo surgery. However, after detailed discussion with him and his family, they decided for medical management in view of his advanced age. |
Audience | Academic |
Author | Trilochan, Biswal Pradipta Dash, Manoranjan Kodali, Sukanta Patnaik, Jyoti Pradhan, Swetapadma |
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Cites_doi | 10.1177/019459989010200207 10.1016/S0022-5223(19)38847-6 10.1097/00000539-200104000-00050 10.3349/ymj.2011.52.5.831 10.1177/000348940411300109 10.1017/S0022215100138848 10.1002/clc.20646 10.1258/00222150260369426 10.1155/2012/367873 |
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References | ref8 ref7 Plastiras (ref2) 2010; 33 Thirwall (ref0) 1997; 111 ref4 Hebl (ref1) 2001; 92 ref6 Loughran (ref5) 2002; 116 MT (ref3) 1990; 102 Stoob (ref9) 2004; 113 |
References_xml | – volume: 102 start-page: 140 year: 1990 ident: ref3 article-title: Recurrent laryngeal nerve paralysis associated with thoracic aortic aneurysm publication-title: Otolaryngol Head Neck Surg doi: 10.1177/019459989010200207 contributor: fullname: MT – ident: ref7 doi: 10.1016/S0022-5223(19)38847-6 – volume: 92 start-page: 1071 year: 2001 ident: ref1 article-title: Postoperative left vocal cord dysfunction caused by Ortner's cardiovocal syndrome publication-title: Anesth Analg doi: 10.1097/00000539-200104000-00050 contributor: fullname: Hebl – ident: ref4 doi: 10.3349/ymj.2011.52.5.831 – ident: ref6 – volume: 113 start-page: 43 issue: 1 year: 2004 ident: ref9 article-title: Resolution of hoarseness after endovascular repair of thoracic aortic aneurysm: a case of Ortner's syndrome publication-title: Ann Otol Rhinol Laryngol doi: 10.1177/000348940411300109 contributor: fullname: Stoob – volume: 111 start-page: 869 year: 1997 ident: ref0 article-title: Ortner's syndrome: a centenary review of unilateral recurrent laryngeal nerve palsy secondary to cardiothoracic disease publication-title: J Laryngol Otol doi: 10.1017/S0022215100138848 contributor: fullname: Thirwall – volume: 33 start-page: 99 year: 2010 ident: ref2 article-title: Ortner's syndrome: a multifactorial cardiovocal syndrome publication-title: Clin Cardiol doi: 10.1002/clc.20646 contributor: fullname: Plastiras – volume: 116 start-page: 907 year: 2002 ident: ref5 article-title: Current aetiology of unilateral vocal fold paralysis in a teaching hospital in the West of Scotland publication-title: J Laryngol Otol doi: 10.1258/00222150260369426 contributor: fullname: Loughran – ident: ref8 doi: 10.1155/2012/367873 |
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Title | AORTIC ANEURYSM: A RARE CAUSE OF ORTNER’S SYNDROME |
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