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[壁内主动脉血肿致奥尔特纳综合征:一例报告]

[Ortner's syndrome caused by intramural aortic hematoma: a case report].

作者信息

Jin Yingyu, Sun Xiaohui, Liu Yang, Wang Yanfang, Xu Yinwei, Jia Jianping

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Jan 5;35(1):74-76. doi: 10.13201/j.issn.2096-7993.2021.01.019.

DOI:10.13201/j.issn.2096-7993.2021.01.019
PMID:33540980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10128530/
Abstract

The clinical manifestations were hoarseness, and no sore throat, fever, dyspnea and dysphagia were found. The patient was in good health and had no history of cardiovascular disease, throat disease, diabetes, asthma, tumor, etc. The left vocal cord paralysis was seen by electronic laryngoscope, and aortic intramural hematoma was found by chest CT examination. In addition, we combined MIMICS digital 3D reconstruction technology to further clarify the lesion. After a series of physical examinations and related examinations, the patient was finally diagnosed as Ortner's syndrome caused by a rare cause of aortic intramural hematoma.

摘要

临床表现为声音嘶哑,未发现咽痛、发热、呼吸困难及吞咽困难。患者身体健康,无心血管疾病、咽喉疾病、糖尿病、哮喘、肿瘤等病史。电子喉镜检查可见左侧声带麻痹,胸部CT检查发现主动脉壁内血肿。此外,我们结合MIMICS数字3D重建技术进一步明确病变情况。经过一系列体格检查及相关检查,患者最终被诊断为由罕见病因主动脉壁内血肿引起的奥纳综合征。

相似文献

1
[Ortner's syndrome caused by intramural aortic hematoma: a case report].[壁内主动脉血肿致奥尔特纳综合征:一例报告]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Jan 5;35(1):74-76. doi: 10.13201/j.issn.2096-7993.2021.01.019.
2
Ortner's syndrome--a rare cause of unilateral vocal cord paralysis: a case report.奥尔特纳综合征——单侧声带麻痹的罕见病因:一例报告。
Kaohsiung J Med Sci. 2009 Apr;25(4):203-6. doi: 10.1016/S1607-551X(09)70061-0.
3
Ortner's Syndrome-A Rare Cause of Hoarseness: Its Importance to an Otorhinolaryngologist.奥特纳综合征——导致声音嘶哑的罕见病因:对耳鼻喉科医生的重要性。
Iran J Otorhinolaryngol. 2016 Mar;28(85):163-7.
4
[Ortner's syndrome caused by dissecting aortic aneurysm].[主动脉夹层动脉瘤所致奥尔特纳综合征]
Turk Kardiyol Dern Ars. 2013 Apr;41(3):225-7. doi: 10.5543/tkda.2013.47935.
5
Cardiovocal Syndrome - An Aortic Arch Aneurysm As A Rare Cause Of Vocal Cord Paralysis.心因性发声障碍-升主动脉瘤罕见病因导致声带麻痹
Port J Card Thorac Vasc Surg. 2022 Oct 5;29(3):59-62. doi: 10.48729/pjctvs.268.
6
Unilateral recurrent nerve palsy and cardiovascular disease - Ortner's syndrome.单侧喉返神经麻痹与心血管疾病——奥尔特纳综合征
J Cardiol Cases. 2016 Dec 8;15(3):88-90. doi: 10.1016/j.jccase.2016.10.018. eCollection 2017 Mar.
7
Ortner's syndrome secondary to thoracic aortic aneurysm: a case series.奥尔特纳综合征继发于胸主动脉瘤:病例系列。
J Cardiothorac Surg. 2022 Oct 20;17(1):270. doi: 10.1186/s13019-022-02023-1.
8
Ortner's syndrome.奥尔特纳综合征。
BMJ Case Rep. 2014 Mar 11;2014:bcr2013200950. doi: 10.1136/bcr-2013-200950.
9
A rare cause of Ortner's syndrome (cardiovocal hoarseness).奥尔特纳综合征(心血管性声嘶)的一种罕见病因。
Thorax. 2004 Jul;59(7):636. doi: 10.1136/thx.2003.020503.
10
The Hoarse Voice of an Aortic Aneurysm Rupture: Ortner's Syndrome.主动脉瘤破裂的嘶哑声:奥尔特纳综合征。
J Emerg Med. 2020 Nov;59(5):e199-e201. doi: 10.1016/j.jemermed.2020.07.014. Epub 2020 Aug 20.

本文引用的文献

1
A fatal case of Ortner's syndrome and dysphagia aortica secondary to rapidly expanding mycotic thoracic aortic aneurysm in a chronic kidney disease patient.一名慢性肾病患者因快速扩张的霉菌性胸主动脉瘤继发奥尔特纳综合征和主动脉性吞咽困难的致死病例。
SAGE Open Med Case Rep. 2018 Sep 10;6:2050313X18799247. doi: 10.1177/2050313X18799247. eCollection 2018.
2
[The application of 3D reconstruction in investigating the frontal sinus drainage pathway based on computer tomography data].[基于计算机断层扫描数据的三维重建在额窦引流途径研究中的应用]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Feb;32(3):171-176. doi: 10.13201/j.issn.1001-1781.2018.03.003.
3
Cardiovocal Syndrome: A rare cause of hoarseness in a patient with a history of pulmonary tuberculosis.心血管-嗓音综合征:肺结核病史患者声音嘶哑的罕见病因。
Sultan Qaboos Univ Med J. 2017 Nov;17(4):e481-e483. doi: 10.18295/squmj.2017.17.04.019. Epub 2018 Jan 10.
4
Ortner syndrome secondary to aortic aneurysm.继发于主动脉瘤的奥尔特纳综合征。
Radiol Case Rep. 2016 Dec 27;12(1):29-30. doi: 10.1016/j.radcr.2016.11.024. eCollection 2017 Mar.
5
[Cause and treatment of unilateral vocal cord paralysis].[单侧声带麻痹的病因及治疗]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Mar;30(5):423-6.
6
Ortner's Syndrome-A Rare Cause of Hoarseness: Its Importance to an Otorhinolaryngologist.奥特纳综合征——导致声音嘶哑的罕见病因:对耳鼻喉科医生的重要性。
Iran J Otorhinolaryngol. 2016 Mar;28(85):163-7.
7
Cardiovocal Syndrome Secondary to an Aortic Aneurysm.主动脉瘤继发的心声综合征
Case Rep Otolaryngol. 2016;2016:9867942. doi: 10.1155/2016/9867942. Epub 2016 Mar 20.
8
Ortner's syndrome secondary to aortic aneurysm.继发于主动脉瘤的奥特纳综合征。
Ann Acad Med Singap. 2012 Jan;41(1):40-1.
9
Aortic intramural haematoma.主动脉壁内血肿。
Heart. 2008 Dec;94(12):1670-4. doi: 10.1136/hrt.2007.132811.