FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3080494172> ?p ?o ?g. }

• W3080494172 endingPage "S17" @default.
• W3080494172 startingPage "S17" @default.
• W3080494172 abstract "Introduction: A hoarse voice is often a benign symptom. Very rarely, it may be an ominous sign for a serious underlying disease. Due to the anatomical course of the recurrent laryngeal nerve, when compressed, it can lead to paralysis of the vocal cord. Several intrathoracic causes have been described in the literature, including mediastinal lymphadenopathy, malignancy such as lung cancer, cardiac tumors, and mitral stenosis. Aortic aneurysm and dissection are extremely rare causes of recurrent laryngeal nerve palsy but can cause significant morbidity and mortality if not diagnosed in a timely fashion. Case description: A 59-year-old male with longstanding hypertension, tobacco dependence presented with undiagnosed hoarseness for 8 months. On examination he was noted to have hypertensive urgency with blood pressure on 194/130 mmHg. Physical examination was otherwise unremarkable except for a prominent 4th heart sound on cardiac auscultation. He had mild anemia with a hemoglobin of 12.2 gm/dl. ECG was normal. Chest x-ray demonstrated a markedly enlarged aortic arch. Contrast CT scan of the chest demonstrated a dissecting aortic aneurysm measuring 6.4 cm in diameter, starting distal to the left subclavian artery with extension through the descending thoracic aorta, abdominal aorta, and terminating in the left iliac artery. Labetalol infusion was begun immediately. Flexible laryngoscopy showed that the left vocal cord was paralyzed in the paramedian position. Patient underwent thoracoabdominal aneurysm repair and re-implantation of left subclavian artery with a #18 mm tube graft. His hospital course was complicated with respiratory failure which required tracheostomy. Discussion: Ortner’s syndrome, first described in 1897, described left recurrent laryngeal nerve palsy caused by left atrial enlargement secondary to mitral stenosis. It is now also recognized as cardiovocal syndrome in which, albeit rarely, aortic aneurysms or dissection result in vocal cord immobility. Abrupt onset of chest pain is a common presentation of aortic dissection, yet 10% of patients present without pain. This case serves to demonstrate this phenomenon of hoarseness without accompanying pain as a highly atypical presentation of this disease. Early recognition can result in appropriate intervention prior to catastrophic event. Atypical presentations of common diseases often are a conundrum, and as a result, clinicians should raise their level of suspicion when history and physical exam are consistent with a possible problem even though the findings are not classic." @default.
• W3080494172 created "2020-09-01" @default.
• W3080494172 creator A5018749218 @default.
• W3080494172 creator A5022517201 @default.
• W3080494172 creator A5034626208 @default.
• W3080494172 creator A5067218744 @default.
• W3080494172 creator A5077830486 @default.
• W3080494172 date "2020-01-01" @default.
• W3080494172 modified "2023-09-26" @default.
• W3080494172 title "Painless dissecting aortic aneurysm presenting as a hoarse voice" @default.
• W3080494172 doi "https://doi.org/10.1016/j.aucc.2020.04.052" @default.
• W3080494172 hasPublicationYear "2020" @default.
• W3080494172 type Work @default.
• W3080494172 sameAs 3080494172 @default.
• W3080494172 citedByCount "0" @default.
• W3080494172 crossrefType "journal-article" @default.
• W3080494172 hasAuthorship W3080494172A5018749218 @default.
• W3080494172 hasAuthorship W3080494172A5022517201 @default.
• W3080494172 hasAuthorship W3080494172A5034626208 @default.
• W3080494172 hasAuthorship W3080494172A5067218744 @default.
• W3080494172 hasAuthorship W3080494172A5077830486 @default.
• W3080494172 hasConcept C126322002 @default.
• W3080494172 hasConcept C126838900 @default.
• W3080494172 hasConcept C141071460 @default.
• W3080494172 hasConcept C164705383 @default.
• W3080494172 hasConcept C2776098176 @default.
• W3080494172 hasConcept C2776109941 @default.
• W3080494172 hasConcept C2777323849 @default.
• W3080494172 hasConcept C2778704086 @default.
• W3080494172 hasConcept C2779618896 @default.
• W3080494172 hasConcept C2781079905 @default.
• W3080494172 hasConcept C526584372 @default.
• W3080494172 hasConcept C71924100 @default.
• W3080494172 hasConceptScore W3080494172C126322002 @default.
• W3080494172 hasConceptScore W3080494172C126838900 @default.
• W3080494172 hasConceptScore W3080494172C141071460 @default.
• W3080494172 hasConceptScore W3080494172C164705383 @default.
• W3080494172 hasConceptScore W3080494172C2776098176 @default.
• W3080494172 hasConceptScore W3080494172C2776109941 @default.
• W3080494172 hasConceptScore W3080494172C2777323849 @default.
• W3080494172 hasConceptScore W3080494172C2778704086 @default.
• W3080494172 hasConceptScore W3080494172C2779618896 @default.
• W3080494172 hasConceptScore W3080494172C2781079905 @default.
• W3080494172 hasConceptScore W3080494172C526584372 @default.
• W3080494172 hasConceptScore W3080494172C71924100 @default.
• W3080494172 hasLocation W30804941721 @default.
• W3080494172 hasOpenAccess W3080494172 @default.
• W3080494172 hasPrimaryLocation W30804941721 @default.
• W3080494172 hasRelatedWork W1992069132 @default.
• W3080494172 hasRelatedWork W2034086321 @default.
• W3080494172 hasRelatedWork W2038668295 @default.
• W3080494172 hasRelatedWork W2064428643 @default.
• W3080494172 hasRelatedWork W2337053829 @default.
• W3080494172 hasRelatedWork W2353581674 @default.
• W3080494172 hasRelatedWork W2463544427 @default.
• W3080494172 hasRelatedWork W2471353421 @default.
• W3080494172 hasRelatedWork W3206972657 @default.
• W3080494172 hasRelatedWork W4211121142 @default.
• W3080494172 hasVolume "33" @default.
• W3080494172 isParatext "false" @default.
• W3080494172 isRetracted "false" @default.
• W3080494172 magId "3080494172" @default.
• W3080494172 workType "article" @default.