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Dysphagia and Hoarseness Associated with Painless Aortic Dissection: A Rare Case of Cardiovocal Syndrome

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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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Correspondence to Sung-Bom Pyun MD, PhD.

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No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

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Lee, SI., Pyun, SB. & Jang, DH. Dysphagia and Hoarseness Associated with Painless Aortic Dissection: A Rare Case of Cardiovocal Syndrome. Dysphagia 21, 129–132 (2006).

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