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Cardiovascular hoarseness: an unusual presentation to otolaryngologists

Abstract Objective: We discuss the case of a 73-year-old woman with a six-month history of hoarseness secondary to an aortic arch pseudoaneurysm. Method: We present the findings of an extensive review of the literature relating to cardiovascular disorders involving the recurrent laryngeal nerve (i.e. Ortner's syndrome). Results: Ortner's syndrome, also known as cardiovocal syndrome, is a rare condition, with few reports in the literature. Conclusion: This is only the second documented case of Ortner's syndrome in Great Britain and Ireland, and the first demonstrating an aortic pseudoaneurysm.