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Case Reports in Otolaryngology
Volume 2016, Article ID 9867942, 3 pages
http://dx.doi.org/10.1155/2016/9867942
Case Report

Cardiovocal Syndrome Secondary to an Aortic Aneurysm

1Department of Otolaryngology, Taipei Medical University, Shuang-Ho Hospital, No. 291, Jhong-Jheng Road, Jhonghe District, New Taipei City 23561, Taiwan
2Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei City, Taiwan
3Department of Preventive and Community Medicine, Taipei Medical University, Shuang-Ho Hospital, No. 291, Jhong-Jheng Road, Jhonghe District, New Taipei City 23561, Taiwan

Received 11 September 2015; Accepted 2 March 2016

Academic Editor: Gianluca Donatini

Copyright © 2016 Hsing-Won Wang et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We reported that a 68-year-old man presented to the ENT outpatient department complaining of hoarseness for more than 10 months. Clinical exam identified left vocal palsy in the paramedian position and atrophic vocal folds were noted. Chest radiography revealed a large bulging contour overlying aorta and left hilar shadow. Aortic aneurysm was proved by CT scanning. Contrast-enhanced chest computed tomography for further evaluation showed a broad-based aortic aneurysm at proximal descending aorta, projecting anterolaterally. Cardiovocal syndrome was proved. The syndrome is a rare clinical presentation. While a patient with unilateral vocal palsy is encountered, one might keep in mind the possibility of cardiovocal syndrome especially in an adult who had a cardiovascular disease.