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A Journal on Angiology

Official Journal of the International Union of Angiology, the International Union of Phlebology and the Central European Vascular Forum
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Case reports  

International Angiology 2006 June;25(2):221-3

language: English

Hoarseness as imminent symptom of aortic aneurysm rupture (Ortner’s syndrome)

Lydakis C. 1, Thalassinos E. 1, Apostolakis S. 1, Athousakis E. 1, Michou E. 1, Kontopoulou E. 2

1 2nd Medical Department, Venizelion General Hospital of Heraklion, Crete, Greece
2 Radiology Department, University Hospital of Crete, Heraklion, Crete, Greece


Ortner’s syndrome (cardiovocal syndrome) is the clinical entity of hoarseness due to left recurrent laryngeal nerve palsy caused by cardiovascular disease. We present a case of an 86-year-old woman with hoarseness as a prominent symptom due to a large painless aneurysm of the thoracic aorta, which soon ruptured. Cardiovocal syndrome can be a rare but an important and probably the only major clinical finding of a painless aortic rupture.

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