Pneumothorax with Ortner syndrome: an unusual presentation of aortic dissection

Abstract Ortner syndrome or cardiovocal syndrome is hoarseness of voice due to left recurrent laryngeal nerve palsy as a result of cardiovascular abnormality. It is not known that pneumothorax has any association with Ortner syndrome. A 56‐year‐old gentleman, with previous history of 20 pack‐year sm...

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Main Authors: Shan Min Lo, Hema Yamini Ramarmuty, Kunji Kannan
Format: Article
Language:English
Published: Wiley 2021-03-01
Series:Respirology Case Reports
Subjects:
Online Access:https://doi.org/10.1002/rcr2.718
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author Shan Min Lo
Hema Yamini Ramarmuty
Kunji Kannan
author_facet Shan Min Lo
Hema Yamini Ramarmuty
Kunji Kannan
author_sort Shan Min Lo
collection DOAJ
description Abstract Ortner syndrome or cardiovocal syndrome is hoarseness of voice due to left recurrent laryngeal nerve palsy as a result of cardiovascular abnormality. It is not known that pneumothorax has any association with Ortner syndrome. A 56‐year‐old gentleman, with previous history of 20 pack‐year smoking and 1‐year history of hypertension, presented to us with cough for two weeks with intermittent haemoptysis, as well as hoarseness of voice for the past one year. Direct laryngoscopy confirmed that he had left vocal cord palsy. Clinical and radiological investigations suggested that he had left pneumothorax. Left chest tube thoracostomy was performed and computed tomography of chest revealed aortic isthmus aneurysm with dissection extending to distal left common iliac artery and residual left hydropneumothorax. The patient was then referred to the vascular team and cardiothoracic team for further management.
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spelling doaj.art-a6976a18809345c7bc4464c3a0db28632022-12-21T23:47:31ZengWileyRespirology Case Reports2051-33802021-03-0193n/an/a10.1002/rcr2.718Pneumothorax with Ortner syndrome: an unusual presentation of aortic dissectionShan Min Lo0Hema Yamini Ramarmuty1Kunji Kannan2Department of Respiratory Hospital Queen Elizabeth Kota Kinabalu MalaysiaDepartment of Respiratory Hospital Queen Elizabeth Kota Kinabalu MalaysiaDepartment of Respiratory Hospital Queen Elizabeth Kota Kinabalu MalaysiaAbstract Ortner syndrome or cardiovocal syndrome is hoarseness of voice due to left recurrent laryngeal nerve palsy as a result of cardiovascular abnormality. It is not known that pneumothorax has any association with Ortner syndrome. A 56‐year‐old gentleman, with previous history of 20 pack‐year smoking and 1‐year history of hypertension, presented to us with cough for two weeks with intermittent haemoptysis, as well as hoarseness of voice for the past one year. Direct laryngoscopy confirmed that he had left vocal cord palsy. Clinical and radiological investigations suggested that he had left pneumothorax. Left chest tube thoracostomy was performed and computed tomography of chest revealed aortic isthmus aneurysm with dissection extending to distal left common iliac artery and residual left hydropneumothorax. The patient was then referred to the vascular team and cardiothoracic team for further management.https://doi.org/10.1002/rcr2.718Aortic dissectionOrtner syndromepneumothoraxrecurrent laryngeal nerve palsy
spellingShingle Shan Min Lo
Hema Yamini Ramarmuty
Kunji Kannan
Pneumothorax with Ortner syndrome: an unusual presentation of aortic dissection
Respirology Case Reports
Aortic dissection
Ortner syndrome
pneumothorax
recurrent laryngeal nerve palsy
title Pneumothorax with Ortner syndrome: an unusual presentation of aortic dissection
title_full Pneumothorax with Ortner syndrome: an unusual presentation of aortic dissection
title_fullStr Pneumothorax with Ortner syndrome: an unusual presentation of aortic dissection
title_full_unstemmed Pneumothorax with Ortner syndrome: an unusual presentation of aortic dissection
title_short Pneumothorax with Ortner syndrome: an unusual presentation of aortic dissection
title_sort pneumothorax with ortner syndrome an unusual presentation of aortic dissection
topic Aortic dissection
Ortner syndrome
pneumothorax
recurrent laryngeal nerve palsy
url https://doi.org/10.1002/rcr2.718
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AT hemayaminiramarmuty pneumothoraxwithortnersyndromeanunusualpresentationofaorticdissection
AT kunjikannan pneumothoraxwithortnersyndromeanunusualpresentationofaorticdissection