Hoarseness Secondary To Cardiovascular Disease: Cardiovocal Sydrome In a Patient With Pulmonary Artery Aneurysm and Giant Atria
Abstract
Cardiovocal syndrome or Ortner syndrome is the hoarseness secondary to recurrent laryngeal nerve palsy due to compression enlarged cardiovascular structures. Dilated left atrium with mitral valve disease is a well-known cause for this rare syndrome; however several cardiovascular conditions also contribute to the pathogenesis. Data suggest that, recurrent laryngeal nerve seems to be compressed in the window between enlarged hypertensive pulmonary artery, aorta and ligamentum arteriosum not solely by enlarged left atrium. In this context, we presented a case of cardiovocal syndrome in a patient with pulmonary artery aneurysm, giant atria and corrected atrial septal defect. The patient was admitted for gradual hoarseness for two years and laryngoscopy revealed left vocal cord paralysis. Cardiovascular examination with transthoracic echocardiography showed pulmonary artery aneurysm with giant atria which is compatible with cardiovocal syndrome
References
- Ortner N. Recurrenslahmung bei mitral stenose. Wien Klin Wochenschr. 1897;10:753–5.
- Subramaniam V, Herle A, Mohammed N, Thahir M. Ortner’s syndrome: case series and literature review. Braz J Otorhinolaryngol. 2011;77:559-62.
- Kawahito S, Kitahata H, Kimura H, Tanaka K, Oshita S. Recurrent laryngeal nerve palsy after cardiovascular surgery: relationship to the placement of a transesophageal echocardiographic probe. J Cardiothorac Vasc Anesth. 1999;13:528-31.
- Plastiras SC, Pamboucas C, Zafiriou T, Lazaris N, Toumanidis S. Ortner’s syndrome: a multifactorial cardiovocal syndrome. Clin. Cardiol. 2010;33:E99–E100
- Norman PE, Powell JT. Site Specificity of Aneurysmal Disease. Circulation 2010, 121:560-568
- Cevik C, Izgi C, Boztosun B. A Rare Consequence of Uncorrected Atrial Septal Defect: Diffuse Pulmonary Artery Aneurysms. Tex Heart Inst J. 2004;31:328-9.
- Veldtman GR, Dearani JA, Warnes CA. Low pressure giant pulmonary artery aneurysms in the adult: natural history and management strategies. Heart 2003;89:1067–1070
- Shankarappa RK, Moorthy N, Chandrasekaran D, Nanjappa MC.Giant Pulmonary Artery Aneurysm Secondary to Primary Pulmonary Hypertension. Tex Heart Inst J 2010;37:244–245.
- Oz F, Emet S, Baykiz D, Oflaz H. Left main coronary artery compression by a giant pulmonary artery aneurysm associated with large atrial septal defect and severe pulmonary hypertension. Anadolu Kardiyol Derg 2011;11:E28-9.
- Raj V, Gopalan D, Stewart S, Dunning J. Unusual cause of hoarseness of voice: giant pulmonary artery aneurysm. Ann Thorac Surg. 2011;91:285-7.
KARDIYOVASKÜLER HASTALIĞA BAĞLI SES KISIKLIĞI: PULMONER ARTER ANEVRIZMASI VE DEV ATRIYUMLARI OLAN BIR HASTADA KARDIYOVOKAL SENDROM
Abstract
Kardiyovokal sendrom veya Ortner sendromu genişlemiş kardiyak yapıların sıkıştırmasına sonucu gelişen sol laringeal rekürren sinir palsisine bağlı ses kısıklığıdır. Mitral kapak hastalığı ile olan genişlemiş sol atriyum bu nadir sendromun iyi bilinen sebebidir ancak başka kardiyovasküler durumlarda patogeneze katkida bulunabilmektedir. Mevcut veriler sadece genişlemiş sol atriyumun değil, sol rekürren laringeal sinirin genişlemiş hipertansif pulmoner arter, aorta ve ligamentum arteriosum arasında sıkıştığını göstermektedir. Bu bağlamda, pulmoner arter anevrizması ve dev atriyumları ve düzeltilmiş atriyal septal defekti olan bir hastada kardiyovokal sendrom olgusunu sunduk. Hasta iki yıldır kademeli olarak artan ses kısıklığı ile başvurdu ve laringoskopide sol vokal kord paralizi tespit edildi. Transtorasik ekokardiyografi ile yapılan kardiyovasküler incelemede, kardiyovokal sendrom ile uyumlu olarak pulmoner arter anevrizması ve dev atriyumlar mevcuttu
References
- Ortner N. Recurrenslahmung bei mitral stenose. Wien Klin Wochenschr. 1897;10:753–5.
- Subramaniam V, Herle A, Mohammed N, Thahir M. Ortner’s syndrome: case series and literature review. Braz J Otorhinolaryngol. 2011;77:559-62.
- Kawahito S, Kitahata H, Kimura H, Tanaka K, Oshita S. Recurrent laryngeal nerve palsy after cardiovascular surgery: relationship to the placement of a transesophageal echocardiographic probe. J Cardiothorac Vasc Anesth. 1999;13:528-31.
- Plastiras SC, Pamboucas C, Zafiriou T, Lazaris N, Toumanidis S. Ortner’s syndrome: a multifactorial cardiovocal syndrome. Clin. Cardiol. 2010;33:E99–E100
- Norman PE, Powell JT. Site Specificity of Aneurysmal Disease. Circulation 2010, 121:560-568
- Cevik C, Izgi C, Boztosun B. A Rare Consequence of Uncorrected Atrial Septal Defect: Diffuse Pulmonary Artery Aneurysms. Tex Heart Inst J. 2004;31:328-9.
- Veldtman GR, Dearani JA, Warnes CA. Low pressure giant pulmonary artery aneurysms in the adult: natural history and management strategies. Heart 2003;89:1067–1070
- Shankarappa RK, Moorthy N, Chandrasekaran D, Nanjappa MC.Giant Pulmonary Artery Aneurysm Secondary to Primary Pulmonary Hypertension. Tex Heart Inst J 2010;37:244–245.
- Oz F, Emet S, Baykiz D, Oflaz H. Left main coronary artery compression by a giant pulmonary artery aneurysm associated with large atrial septal defect and severe pulmonary hypertension. Anadolu Kardiyol Derg 2011;11:E28-9.
- Raj V, Gopalan D, Stewart S, Dunning J. Unusual cause of hoarseness of voice: giant pulmonary artery aneurysm. Ann Thorac Surg. 2011;91:285-7.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 1, 2015 |
| Published in Issue | Year 2015Issue: 1 |