Ortner Syndrome or Cardiovocal Syndrome encompasses any cardiovascular cause causing vocal cord paralysis by compression of the recurrent laryngeal nerve along its pathway.Historically, it was described as a case of vocal cord paralysis due to an read more enlarged left atrium compressing on the left recurrent laryngeal nerve in mitral valve stenosis.We describe a case of 71 years male, who presented with insidious 9x11 pergola onset hoarseness of voice.Contrast-enhanced computed tomography neck and chest revealed two aneurysms from the arch of aorta compressing on the left recurrent laryngeal nerve.With other causes being ruled out, the diagnosis of Cardiovocal syndrome was retained.