© 2004 BMJ Publishing Group Ltd & British Thoracic Society
Images in Thorax
A rare cause of Ortner’s syndrome (cardiovocal hoarseness)
1 Leiden University Medical Center, Leiden, The Netherlands
2 Leyenburg Hospital, The Hague, The Netherlands
3 Leiden University Medical Center, Leiden, The Netherlands
Correspondence to:
Correspondence to:
Dr J Annema
Department of Pulmonology, P O Box 9600, University Medical Centre, 2300 RC Leiden, The Netherlands; j.t.annema@lumc.nl
| The first 150 words of the full text of this article appear below. |
A 78 year old man with a history of hypertension, arteriosclerosis, and a myocardial infarction woke up one morning to realise that he had lost his voice. He did not feel ill nor had he experienced symptoms of cough or fever. He had smoked cigarettes for over 60 years and had a brother with lung cancer. Left vocal cord paralysis was assessed at laryngoscopy.
A contrast enhanced computed tomographic (CT) scan of the chest showed a mass with a central opacity in the aortopulmonary window (fig 1
, arrow). In the diagnostic workup densities of this mass were measured which did not correspond with contrast as seen in the aorta. A mediastinal metastasis or mediastinal tumour was the most likely diagnosis given by the radiologist. As he was not aware of the clinical entity of Ortner’s syndrome, an aneurysm was considered less likely. Transoesophageal endoscopic ultrasonography revealed a saccular aneurysm
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