scholarly journals Ortner’s syndrome: a case report and literature review

2015 ◽  
Vol 48 (4) ◽  
pp. 260-262 ◽  
Author(s):  
Bruno Landim Dutra ◽  
Lenilton da Costa Campos ◽  
Hélder de Castro Marques ◽  
Vagner Moysés Vilela ◽  
Rodolfo Elias Diniz da Silva Carvalho ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Literature Review ◽  
Recurrent Laryngeal Nerve ◽  
Aortic Arch ◽  
Vocal Cord Paralysis ◽  
Laryngeal Nerve ◽  
Inferior Wall ◽  
Left Recurrent Laryngeal Nerve ◽  
Ortner’S Syndrome

Abstract The authors report the case of a 55-year-old female, hypertensive, smoker patient presenting with dysphonia, dysphagia and persistent dry cough. Laryngoscopy diagnosed left vocal cord paralysis. Computed tomography demonstrated saccular aneurysm of the inferior wall of the aortic arch, stretching the left recurrent laryngeal nerve, a finding compatible with Ortner’s syndrome.

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

Ortner's syndrome revisited

1998 ◽  
Vol 112 (4) ◽  
pp. 377-379 ◽  
Author(s):  
A. Sengupta ◽  
S. P. Dubey ◽  
D. Chaudhuri ◽  
A. K. Sinha ◽  
P. Chakravarti
Keyword(s):  
Pulmonary Hypertension ◽  
Heart Disease ◽  
Recurrent Laryngeal Nerve ◽  
Mitral Stenosis ◽  
Primary Pulmonary Hypertension ◽  
Case Reports ◽  
Cor Pulmonale ◽  
Laryngeal Nerve ◽  
Left Recurrent Laryngeal Nerve ◽  
Ortner’S Syndrome

AbstractHoarseness of voice due to paralysis of the left recurrent laryngeal nerve caused by a dilated left atrium in mitral stenosis as discussed by Ortner, is a subject of controversy. Different authors have cited different mechanisms as explanation. A variety of cardiac problems such as primary pulmonary hypertension, ischaemic heart disease, various congenital heart disorders can all lead to paralysis of the left recurrent laryngeal nerve. Most authors believe that pressure in the pulmonary artery causes the nerve compression. In Papua New Guinea cor pulmonale and rheumatic heart disease are the commonest cardiac disorders seen. Ortner's syndrome is a rarity and has never been reported from here before. Here three different case reports are presented with mitral stenosis, primary pulmonary hypertension and combined mitral stenosis and regurgitation and the pathogenesis of hoarseness is discussed.

scholarly journals A variant nerve that mimics the left recurrent laryngeal nerve: a case study in human anatomy

2015 ◽  
Author(s):  
Dickran Altounian ◽  
Cathy M Tran ◽  
Christina Tran ◽  
Allison Spencer ◽  
Alexandra Shendrik ◽  
...  
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Aortic Arch ◽  
Ductus Arteriosus ◽  
Nerve Fibers ◽  
Laryngeal Nerve ◽  
Human Anatomy ◽  
Ligamentum Arteriosum ◽  
Left Recurrent Laryngeal Nerve ◽  
The One ◽  
Arch Of The Aorta

We describe a variant nerve in a human cadaver patient that parallels the course of the left recurrent laryngeal nerve (RLN). Like the normal left RLN, the variant nerve branches from the vagus nerve and wraps around the arch of the aorta, but it passes anterior and medial to the ligamentum arteriosum (= fetal ductus arteriosus) instead of behind it like the normal RLN. After recurring around the aorta, the variant nerve joins the esophageal plexus and also appears to connect to the cervical sympathetic chain. The bilaterally paired RLNs supply innervation not only to the larynx but also to the upper parts of the trachea and esophagus, in particular those parts derived from the 4th and 6th pharyngeal arches. We hypothesize that in this case, some of the nerve fibers to the trachea and esophagus were pulled down into the torso by the 4th embryonic aortic arch (= the arch of the aorta in adults), but passed cranial to the 6th embryonic aortic arch (= fetal ductus arteriosus). From where it recurs around the aorta to join the esophageal plexus, the variant nerve is very similar to the pararecurrent nerve in dogs, so there is at least a partial precedent in another placental mammal. Understanding the relationships of the embryonic pharyngeal and aortic arches and their adult derivatives is crucial for correctly identifying the RLN, especially when imposter nerves, like the one documented here, are present.

Right aortic arch with left lung cancer: focusing on left recurrent laryngeal nerve

2002 ◽  
Vol 73 (3) ◽  
pp. 985-986 ◽  
Author(s):  
Dai Shida ◽  
Yuji Asato ◽  
Ryuta Amemiya ◽  
Akifumi Suzuki ◽  
Fuyo Yoshimi
Keyword(s):  
Lung Cancer ◽  
Recurrent Laryngeal Nerve ◽  
Aortic Arch ◽  
Left Lung ◽  
Right Aortic Arch ◽  
Laryngeal Nerve ◽  
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 Cardio-vocal Syndrome as a Complication Patient with Severe Mitral Regurgitation and Moderate Aortic Regurgitation with Pulmonary Hypertension

2021 ◽  
Vol 5 (1) ◽  
pp. 145
Author(s):  
Adityo Basworo ◽  
Agus Subagjo
Keyword(s):  
Case Report ◽  
Mitral Valve ◽  
Mitral Regurgitation ◽  
Recurrent Laryngeal Nerve ◽  
Vocal Cord ◽  
Aortic Regurgitation ◽  
Laryngeal Nerve ◽  
Severe Mitral Regurgitation ◽  
Left Vocal Cord ◽  
Left Recurrent Laryngeal Nerve

ABSTRACT  Hoarseness due to paralysis of vocal cord, as in Cardio-vocal syndrome, is caused by mechanical affection of left recurrent laryngeal nerve from enlarged cardiovascular structures. Mitral valve prolapse is rarely found to cause this syndrome. Case report presenting a 47 years old male visited the outpatient department with a clinical history of dyspnea and hoarseness since a year ago. Physical examination revealed late systolic murmur in apex and low-grade diastolic murmur in right second intercostal space. Echocardiography confirmed severe mitral regurgitation due to flail anterior mitral valve leaflet with severe left atrium dilatation (9.0 cm) and moderate aortic regurgitation due to mal-coaptation of aortic valves. Laryngoscopy revealed an immobile left vocal cord. He underwent successful double valve replacement after three months follow up the patient showed improvement of hoarseness. The incidence of Cardio-vocal syndrome in mitral valve disease varies from 0.6% to 5%. In cases diagnosed with thoracic disease, paralysis of the left vocal cord was reported 1.75 times more frequent than the right side. The aim of this case report is we have to aware that Cardio-vocal syndrome is a rare cause of vocal cord paralysis and should be considered as a differential diagnosis of hoarseness, particularly if the patient has a cardiac history. Comprehensive evaluation and prompt treatment may allow reversal of the damage to left recurrent laryngeal nerve. Permanent nerve damage can occur due to late diagnosis. Keywords             : Cardio-vocal syndrome, Mitral regurgitation, Aortic RegurgitationCorrespondence   : [email protected]

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