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

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.

2019 ◽  
Vol 11 (12) ◽  
pp. 316-321
Author(s):  
Hannah Elisabeth Fürniss ◽  
Johanna Hummel ◽  
Brigitte Stiller ◽  
Jochen Grohmann

VASA ◽  
2009 ◽  
Vol 38 (4) ◽  
pp. 382-389
Author(s):  
Yuan ◽  
Jing

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.


2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Jaakko Heikkinen ◽  
Katrin Milger ◽  
Enrique Alejandre-Lafont ◽  
Christian Woitzik ◽  
Detlef Litzlbauer ◽  
...  

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.


PEDIATRICS ◽  
2013 ◽  
Vol 132 (6) ◽  
pp. e1704-e1708
Author(s):  
H. K. Chiu ◽  
D. Ledbetter ◽  
M. W. Richter ◽  
R. S. Iyer ◽  
A. L. Merati

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