Hoarseness of voice as presenting complaint of idiopathic pulmonary arterial hypertension

Garg, Rajiv; Singh, Anubhuti; Sawlani, Kamal Kumar; Mishra, Ashwini Kumar

doi:10.4103/0970-2113.201304

Cited by 1 publication

(2 citation statements)

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“…It has also been reported to be associated with various cardiovascular diseases apart from mitral stenosis. Idiopathic pulmonary arterial hypertension (IPAH) is a rare disease estimated to occur in approximately 50 cases per million people; however, there is a limited number of cardiovocal syndrome cases reported to be associated with IPAH [2][3][4][5][6][7][8][9][10][11][12][13][14]. IPAH is a progressive disease that affects prepulmonary vessels and is characterized by elevated pulmonary artery (PA) pressure with no apparent cause and a high mortality rate.…”

Section: Introductionmentioning

confidence: 99%

“…Most nonsurgical recurrent laryngeal nerve palsies are idiopathic or caused by lung and neck tumors or aortic aneurysms. However, cardiovascular diseases, including IPAH, can cause recurrent laryngeal nerve palsy and should be diagnosed with caution.Past cases reported as cardiovocal syndrome caused by IPAH and the present case are summarized in Table1; in total, 23 patients were identified, with age and sex confirmed in 13 cases[3][4][5][6][7][8][9][10][11][12][13][14].…”

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confidence: 99%

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Cardiovocal Syndrome Associated With Idiopathic Pulmonary Arterial Hypertension: A Case Report and Literature Review

Ohi¹,

Suzuki²,

Ikeda³

et al. 2022

Cureus

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Cardiovocal syndrome is left recurrent laryngeal nerve palsy associated with cardiovascular disease. Herein, we report a rare case of left recurrent laryngeal nerve palsy caused by idiopathic pulmonary arterial hypertension. A 40-year-old woman diagnosed with idiopathic pulmonary arterial hypertension was referred to our department for occult infection foci in the ear, nose, and throat (ENT). She had no apparent subjective symptoms in the ENT area, including hoarseness. Flexible laryngoscopy revealed left vocal cord paralysis, and contrast-enhanced computed tomography revealed dilatation of the pulmonary trunk, bilateral pulmonary arteries, and right ventricle, suggesting compression of the left recurrent laryngeal nerve. In our daily practice, when we encounter a left recurrent laryngeal nerve palsy that seems to be endogenous, cardiovascular lesions should be ruled out.

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