Vocal Cord Paralysis After Surgery for Thoracic Aortic Aneurysm

Hoarseness subsequent to cardiovascular surgery, intervention, maneuver and endotracheal intubation: The so-called iatrogenic Ortner’s (cardiovocal) syndrome

“…Totally 50 reported were collected, including 19 (38%) case reports or case series [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29], 1 (2%) technique [30], 17 (34%) retrospective [31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47][48] and 13 (26%) prospective reports [7,11,[49][50][51][52][53][54][55][56][57][58][59].…”

“…In thoracic aortic aneurysms types I, II and III, the incidences of vocal ford paralysis were 64%, 25% and 21%, respectively. Hoarseness improved in 16% and persisted in 84% at a follow-up of 3 months [35]. Spanos et al [57] reported that the incidence of iatrogenic vocal fold paralysis in patients with vascular clips (19%) was similar to the incidence in those with suture ligature (20%).…”

“…Vocal cord medialization rendered the median penetration-aspiration scale score improved from 4.0 to 3.0 [3]. After surgical treatment, arytenoid adduction or silicone injection into the vocal cord was performed, the maximum phonation time improved from 4 s before treatment to 10 s after treatment [35]. Infants with left vocal cord paralysis usually developed bronchopulmonary dysplasia, reactive airway disease and required a gastrostomy feeding tube due to abnormal swallow or aspiration with feedings [59].…”

Rehabilitation for Spinal Cord Injury Caused by Thoracic Aortic Aneurysm

“…The incidence of LRLN palsy was 8.6% in a study of 500 patients (de Bakey et al, 1978) and 5% in another study of 168 cases (Teixido & Leonetti, 1990). Ishimoto et al reported an incidence of vocal cord immobility of 32% (20/62), which was confirmed by laryngoscopy after surgery for TAA, and 16 out of 19 patients (84 %) who were followed for more than 6 months did not fully recover (Ishimoto et al, 2002) As shown in Table 7, postoperative paraplegia closely related to respiratory failure. Crawford Type II aneurysms occurred in 32% of patients with respiratory failure and in 28% of the patients that developed postoperative pneumonia (Money et al, 1994).…”

Ortners Syndrome: A Rare Cause of Hoarseness of Voice

“…Later it was described with other identifiable cardiovascular diseases associated either with left atrial enlargement including mitral regurgitation and atrial myxoma or severe pulmonary hypertension including congenital heart diseases. For this reason it is also known as cardiovocal syndrome [7][8][9][10][11] . The various underlying conditions associated with cardio vocal syndrome include iatrogenic congenital, mitral valve disorders, and aortic aneurysms (Table 1).…”