Cardiovocal Syndrome – An Aortic Arch Aneurysm As A Rare Cause Of Vocal Cord Paralysis

Authors

  • Alexandra Mesquita Hospital do Divino Espírito Santo de Ponta Delgada, Portugal https://orcid.org/0000-0002-9445-0402
  • Pedro Maximiano Hospital do Divino Espírito Santo de Ponta Delgada, Portugal https://orcid.org/0000-0001-6999-3539
  • Marta Sousa Hospital do Divino Espírito Santo de Ponta Delgada, Portugal
  • Rosa Cruz Hospital do Divino Espírito Santo de Ponta Delgada, Portugal

DOI:

https://doi.org/10.48729/pjctvs.268

Keywords:

Cardiovocal syndrome, Aortic arch aneurysm, Vocal cord paralysis

Abstract

Introduction: Cardiovocal or Ortner’s syndrome is a rare cause of vocal cord paralysis. Damage to the left recurrent laryngeal nerve may be caused by an aortic arch aneurysm, in even rarer cases.

Clinical case: A 60-year-old woman presented with hoarseness lasting for six months. Paralysis of the left vocal cord was confirmed with laryngoscopy and an aortic arch aneurysm was diagnosed on chest CT. Despite correction of the aortic aneurysm, her hoarseness did not improve.

Discussion: Mediastinal disease may cause vocal cord paralysis, due to the intrathoracic course of the recurrent laryngeal nerve. The assessment of the superior mediastinum on CT is mandatory in these cases. In cardiovocal syndrome, cardiovascular diseases damage the recurrent laryngeal nerve. Aortic aneurysms are a rare cause of Ortner’s, especially when they affect the distal portion of the aortic arch and stretch the left recurrent laryngeal nerve at the aortopulmonary window.

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References

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Published

05-10-2022

How to Cite

1.
Mesquita A, Maximiano P, Sousa M, Cruz R. Cardiovocal Syndrome – An Aortic Arch Aneurysm As A Rare Cause Of Vocal Cord Paralysis. Rev Port Cir Cardiotorac Vasc [Internet]. 2022 Oct. 5 [cited 2024 May 21];29(3):59-62. Available from: https://pjctvs.com/index.php/journal/article/view/268

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