Chia Nan University of Pharmacy & Science Institutional Repository:Item 310902800/34648
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    Please use this identifier to cite or link to this item: https://ir.cnu.edu.tw/handle/310902800/34648


    Title: Ortner syndrome caused by aberrant right subclavian artery: A case report
    Authors: Chen, Yen-Wen
    Chang, Shih-Lun
    Wu, Nan-Chun
    Shih, Yun-Ju
    Contributors: Chi Mei Hospital
    Chung Hua University
    Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy & Science
    Chi Mei Hospital
    Keywords: dysphagia lusoria
    Date: 2022
    Issue Date: 2023-12-11 14:02:35 (UTC+8)
    Publisher: LIPPINCOTT WILLIAMS & WILKINS
    Abstract: Introduction:Ortner syndrome (cardiovocal hoarseness) is characterized by recurrent laryngeal nerve paralysis secondary to a cardiovascular abnormality. Ortner syndrome caused by an aberrant right subclavian artery following a retroesophageal course without aneurysm formation is rare, with only 1 case reported in the literature. Cardiovascular abnormalities could be life-threatening and require early diagnosis and treatment. However, such abnormalities are not often considered by clinical practitioners when patients initially present with hoarseness. Patient concerns:A 34-year-old woman without any medical history presented to our outpatient department with hoarseness and mild dysphagia for 1 month. Diagnosis:Upon stroboscopic examination, left vocal cord incomplete paralysis was noted. Contrast-enhanced computed tomography revealed an aberrant right subclavian artery arising from the left aortic arch, causing focal compression of the esophagus and, potentially, compression of the left recurrent laryngeal nerve compression. The patient was diagnosed as left recurrent laryngeal nerve paralysis caused by an aberrant right subclavian artery following a retroesophageal course without aneurysm formation. Interventions:The patient was referred to a cardiovascular surgeon for resection and bypass surgery. Both the dysphagia and the hoarseness improved after the surgery. Outcomes:Significant improvement of the left vocal cord paralysis and no vocal cord adduction were seen upon stroboscopic examination after 3 months. During the 5-year follow-up period, the patient remained well, and no signs of recurrence were noted. Conclusion:This case can increase otolaryngologists' awareness of this etiology of hoarseness and consider it in their differential diagnosis.
    Relation: MEDICINE, v.101, n.49, e32272CB2
    Appears in Collections:[Dept. of Hospital and Health (including master's program)] Periodical Articles

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