Cardiovocal syndrome secondary to an aortic pseudo­aneurysm

VASA ◽  
2009 ◽  
Vol 38 (4) ◽  
pp. 382-389
Author(s):  
Yuan ◽  
Jing
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Cardiovascular Disorder ◽  
Laryngeal Nerve ◽  
Interventional Treatment ◽  
Aortic Pseudoaneurysm ◽  
Laryngeal Nerve Palsy ◽  
History Of ◽  
Left Recurrent Laryngeal Nerve

Left recurrent laryngeal nerve palsy characterized by hoarseness due to a cardiovascular disorder, which is termed as cardiovocal syndrome or Ortner’s syndrome, is an unusual condition. The syndrome might be associated with diverse cardiovascular diseases. However, it is rarely caused by an aortic pseudoaneurysm. The prominent clinical features of such patients are a history of trauma and the injury to or compression of the aortic isthmus involving the laryngeal nerve. Surgical or interventional treatment is necessary, and recurrent laryngeal nerve palsy is usually expected to recover after the surgical intervention of the aortic pseudoaneurysm.

scholarly journals Delayed recurrent nerve paralysis following post-traumatic aortic pseudoaneurysm

Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 215-219 ◽  
Author(s):  
Massimo Mesolella ◽  
Filippo Ricciardiello ◽  
Domenico Tafuri ◽  
Roberto Varriale ◽  
Domenico Testa
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Nerve Palsy ◽  
Motor Vehicle ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Recurrent Nerve ◽  
Nerve Paralysis ◽  
Aortic Pseudoaneurysm ◽  
Laryngeal Nerve Palsy ◽  
Post Traumatic

AbstractBlunt trauma to the neck or to the chest are increasingly observed in the emergency clinical practice. They usually follow motor vehicle accidents or may be work or sports related. A wide pattern of clinical presentation can be potentially encountered. We report the uncommon case of a patient who was referred to our observation presenting with hoarseness and disphagia. Twenty days before he had sustained a car accident with trauma to the chest, neck and the mandible. Laryngoscopy showed a left recurrent laryngeal nerve palsy. Further otolaryngo-logical examination showed no other abnormality. At CT and MR imaging a post-traumatic aortic pseudoaneurysm was revealed. The aortic pseudoaneurysm was consequently repaired by implantation of an endovascular stent graft under local anesthesia. The patient was discharged 10 days later. At 30-days follow-up laryngoscopy the left vocal cord palsy was completely resolved.Hoarseness associated with a dilated left atrium in a patient with mitral valve stenosis was initially described by Ortner more than a century ago. Since then several non malignant, cardiovascular, intrathoracic disease that results in embarrassment from recurrent laryngeal nerve palsy usually by stretching, pulling or compression; thus, the correlations of these pathologies was termed as cardiovocal syndrome or Ortner’s syndrome. The reported case illustrates that life-threatening cardiovascular comorbidities can cause hoarseness and that an impaired recurrent laryngeal nerve might be correctable.

scholarly journals Left recurrent laryngeal nerve palsy following aortic arch stenting: A case report

2019 ◽  
Vol 11 (12) ◽  
pp. 316-321
Author(s):  
Hannah Elisabeth Fürniss ◽  
Johanna Hummel ◽  
Brigitte Stiller ◽  
Jochen Grohmann
Keyword(s):  
Case Report ◽  
Recurrent Laryngeal Nerve ◽  
Aortic Arch ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Laryngeal Nerve Palsy ◽  
Left Recurrent Laryngeal Nerve

scholarly journals Cardiovocal Syndrome (Ortner's Syndrome) Associated with Chronic Thromboembolic Pulmonary Hypertension and Giant Pulmonary Artery Aneurysm: Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Jaakko Heikkinen ◽  
Katrin Milger ◽  
Enrique Alejandre-Lafont ◽  
Christian Woitzik ◽  
Detlef Litzlbauer ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Recurrent Laryngeal Nerve ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Chronic Thromboembolic Pulmonary Hypertension ◽  
Laryngeal Nerve ◽  
Laryngeal Nerve Palsy ◽  
Thromboembolic Pulmonary Hypertension ◽  
Left Recurrent Laryngeal Nerve ◽  
Ortner’S Syndrome

Cardiovocal syndrome or Ortner's syndrome is hoarseness due to left recurrent laryngeal nerve palsy caused by mechanical affection of the nerve from enlarged cardiovascular structures. Chronic thromboembolic pulmonary hypertension is extremely rarely found to cause this syndrome. We describe a case of a 56-year-old patient with sudden onset of hoarseness. The patient had known long standing severe pulmonary hypertension. Fiberoptic laryngoscopy showed left vocal cord palsy. Computed tomography of the neck and chest revealed extensive enlargement of the pulmonary arteries and excluded a malignant tumor. The diagnosis of cardiovocal syndrome was retained. It is important for the radiologist to be aware of this possible etiology causing left recurrent laryngeal nerve palsy and to understand its mechanism.

scholarly journals Thoracic Saccular Aortic Aneurysm Presenting with Recurrent Laryngeal Nerve Palsy prior to Aneurysm Rupture: A Prodrome of Thoracic Aneurysm Rupture?

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Masafumi Ohki
Keyword(s):  
Aortic Aneurysm ◽  
Recurrent Laryngeal Nerve ◽  
Nerve Palsy ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Aneurysm Rupture ◽  
Laryngeal Nerve ◽  
Aortic Aneurysms ◽  
Aortic Arch Replacement ◽  
Laryngeal Nerve Palsy ◽  
Left Recurrent Laryngeal Nerve

Left recurrent laryngeal nerve palsy rarely results from cardiac disease. We present 2 cases of left recurrent laryngeal nerve palsy caused by thoracic saccular aortic aneurysms. One patient suffered an aortic aneurysm rupture one month after the advent of hoarseness, necessitating emergency surgery with aortic arch replacement. The other patient underwent elective aortic arch replacement surgery. Both saccular aortic aneurysms protruded downward in the aortopulmonary window to compress the recurrent laryngeal nerves. This is only the 5th case report of the rare occurrence of acute recurrent laryngeal nerve palsy subsequent to saccular aneurysm rupture in the English literature. Recurrent laryngeal nerve palsy does not always indicate imminent aneurysm rupture, but should trigger awareness of a potential rupture in the near future. Left recurrent laryngeal nerve palsy might be a prodrome of aneurysm rupture.

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