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Cardiovascular hoarseness: an unusual presentation to otolaryngologists

Published online by Cambridge University Press:  14 May 2007

Abstract

Objective:

We discuss the case of a 73-year-old woman with a six-month history of hoarseness secondary to an aortic arch pseudoaneurysm.

Method:

We present the findings of an extensive review of the literature relating to cardiovascular disorders involving the recurrent laryngeal nerve (i.e. Ortner's syndrome).

Results:

Ortner's syndrome, also known as cardiovocal syndrome, is a rare condition, with few reports in the literature.

Conclusion:

This is only the second documented case of Ortner's syndrome in Great Britain and Ireland, and the first demonstrating an aortic pseudoaneurysm.

Type
Research Article
Copyright
Copyright © JLO (1984) Limited 2007

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References

1 Hirose, H. Clinical observations on 600 cases of recurrent laryngeal nerve paralysis. Auris Nasus Larynx 1978;5:394810.1016/S0385-8146(78)80005-4CrossRefGoogle ScholarPubMed
2 Snell, RS. Clinical Anatomy for Medical Students, 4th edn. Boston: Little, Brown & Co, 1992;22Google Scholar
3 Ortner, N. Recurrent nerve palsy in patient with mitral stenosis [in German]. Wien Klin Wochenschr 1987;10:753–5Google Scholar
4 Balfour, HH, Ayoub, EM. Hoarseness as the presenting symptom of mitral insufficiency. JAMA 1968;204:1190–310.1001/jama.1968.03140260030014CrossRefGoogle ScholarPubMed
5 Rubens, F, Goldstein, W, Hickey, N, Dennie, C, Keon, W. Hoarseness secondary to left atrial myxoma. Chest 1989;95:1139–4010.1378/chest.95.5.1139CrossRefGoogle ScholarPubMed
6 Eng, J, Nair, KK. Giant left ventricular aneurysm. J Cardiovasc Surg (Torfno) 1993;34:85–6Google ScholarPubMed
7 Soliman, MS. Hoarseness in schistosomal cor pulmonale. Chest 1997;112:115010.1378/chest.112.4.1150-aCrossRefGoogle ScholarPubMed
8 Kamp, O, van Rossum, AC, Torenbeek, R. Transesophageal echocardiography and magnetic resonance imaging for the assessment of saccular aneurysm of the transverse thoracic aorta. Int J Cardiol 1991;33:330–310.1016/0167-5273(91)90367-XCrossRefGoogle ScholarPubMed
9 Chan, P, Huang, JJ, Yang, YJ. Left vocal cord palsy: an unusual presentation of a mycotic aneurysm of the aorta caused by salmonella cholerasuis. Scand J Infect Dis 1994;26:219–2110.3109/00365549409011787CrossRefGoogle ScholarPubMed
10 Thevenet, A, Du Cailar, C. Chronic traumatic aneurysms of the thoracic aorta. World J Surg 1989;13:112–1610.1007/BF01671169CrossRefGoogle ScholarPubMed
11 Razzouk, A, Gundry, S, Wang, N, Heyner, R, Sciolaro, C, Van Arsdell, G et al. Pseudoaneurysms of the aorta after cardiac surgery and chest trauma. Am Surg 1993;59:818–23Google ScholarPubMed
12 Bickle, IC, Kelly, BE, Brooker, DS. Ortner's syndrome: a radiological diagnosis. The Ulster Medical Journal 2002;71:55–6Google ScholarPubMed
13 Ishii, K, Adachi, H, Tsubaki, K, Ohta, Y, Yamamoto, M, Ino, T. Evaluation of recurrent nerve paralysis due to thoracic aortic aneurysm and aneurysm repair. Laryngoscope 2004;114:2176–8110.1097/01.mlg.0000149453.91005.abCrossRefGoogle ScholarPubMed