ABC | Volume 114, Nº4, Suplement, April 2020

Case Report Lamas et al. Ortner’s Syndrome Arq Bras Cardiol 2020; 114(4Suppl.1):16-18 Represents a condition that is more frequent in females in the proportion of 4:1. History of smoking, as in our case, increases 6-fold the risk of developing it. 5 The diagnostic criteria were established in 1990 by the American College of Rheumatology. Temporal artery biopsy showing an inflammatory granulomatous pattern is part of the criteria, but it lacks adequate sensitivity and can be avoided in the appropriate context in the presence of a suggestive clinical picture and with imaging studies compatible with the involvement of large vessels. 6 The presence of a high erythrocyte sedimentation rate (usually over 55mm/1 hour) is a non-specific laboratory finding , but very frequently. The fast and effective response to corticotherapy strengthens the diagnostic possibility. Aortic involvement is not infrequent and early recognition, and treatment is essential to minimize acute and chronic complications. 7 Ortner’s syndrome or cardiovocal syndrome, first described in 1897, is a rare situation characterized by compression of the recurrent laryngeal nerve by cardiovascular conditions leading to hoarseness, dysphagia and dysphonia. 8 Its association with Figure 1 – Computed tomography angiography. A) Saccular aneurysmatic dilation after the emergence of the left subclavian, partially thrombosed, measuring 4.2 cm in length and 2.4 x 2.8 cm in the largest diameters. B) Image obtained after 3D reconstruction. Figure 2 – Image obtained by videolaryngoscopy shows asymmetry of the vocal cords, with signs of left vocal cord paralysis. 17