Ortner syndrome caused by aberrant right subclavian artery: A case report

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標題:	Ortner syndrome caused by aberrant right subclavian artery: A case report
作者:	Chen, Yen-Wen Chang, Shih-Lun Wu, Nan-Chun Shih, Yun-Ju
貢獻者:	Chi Mei Hospital Chung Hua University Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy & Science Chi Mei Hospital
關鍵字:	dysphagia lusoria
日期:	2022
上傳時間:	2023-12-11 14:02:35 (UTC+8)
出版者:	LIPPINCOTT WILLIAMS & WILKINS
摘要:	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.
關聯:	MEDICINE, v.101, n.49, e32272CB2
Appears in Collections:	[醫務管理系(所)] 期刊論文

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