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It is commonly caused by physical changes to the vocal folds such as inflammation, scarring, or muscle tension

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The Cleveland Clinic describes aortic dissection as "a tear in the inner layer of a weakened area of your aorta." "Your aorta is the main artery that delivers oxygen- and nutrient-rich blood from your heart to the rest of your body." During an aortic dissection, the Cleveland Clinic notes, blood surges through the tear, causing the inner and middle layers to separate. As a result, normal blood flow can become slow or stop, and the aorta can rupture