Vocal Cord Paralysis Associated with Pulmonary Emboli

Albertini, Robert E.

doi:10.1378/chest.62.4.508

Cited by 28 publications

(14 citation statements)

References 13 publications

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“…Left vocal cord palsy due to LRLN compression was reported in patients with idiopathic PAH [3 26-28], PAH due to CHD [26 29-31] and chronic thromboembolic pulmonary hypertension [24 32]. Interestingly, in several cases, the hoarseness improved upon reducing the pulmonary artery pressure with PAH-specific therapies [3 25 33] (Table 2).…”

Section: Discussionmentioning

confidence: 99%

Compression of adjacent anatomical structures by pulmonary artery dilation

Dakkak

Tonelli

2016

Postgraduate Medicine

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Pulmonary hypertension is the commonest condition leading to dilated pulmonary artery. We describe three different types of compression of adjacent anatomical structures by dilated pulmonary arteries. We included involvement of the left main coronary artery, left recurrent laryngeal nerve and tracheobronchial tree. Compression of these structures can cause major complications such as myocardial ischemia, hoarseness and major airway stenosis. We present a case for each scenario and review the literature for each of these complications, focusing on patients’ characteristics and contemporary management.

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Section: Discussionmentioning

confidence: 99%

Compression of adjacent anatomical structures by pulmonary artery dilation

Dakkak

Tonelli

2016

Postgraduate Medicine

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“…Most cases are due to compression of the nerve by structures abutting the aortopulmonary window. Causes of Ortner's syndrome due to pulmonary artery enlargement include primary pulmonary hypertension,4 recurrent pulmonary emboli5 and various congenital heart defects 6–10. Cases of Ortner's syndrome due to aortic aneurysms have been reported 11 12.…”

Section: Discussionmentioning

confidence: 99%

Ortner's syndrome

et al. 2014

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SUMMARYA 42-year-old man with a significant smoking history presented with chronic expectorative cough and exertional shortness of breath with recent-onset hoarseness. Chest examination was essentially normal and cardiovascular examination was suggestive of aortic regurgitation. Ears, nose and throat evaluation showed left vocal cord palsy and CT scan revealed an aortic arch aneurysm. Ortner's syndrome refers to hoarseness due to recurrent laryngeal nerve palsy secondary to a cardiovascular abnormality. Aortic aneurysms usually present with chest pain, back pain or epigastric pain, depending on the site of the aneurysm. An aortic arch aneurysm presenting as hoarseness is extremely rare. BACKGROUND

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“…Cardiovocal syndrome caused by idiopathic pulmonary artery hypertension and dilated pulmonary trunk has also been described in the literature [10–12]. To the best of our knowledge cardiovocal syndrome associated with pulmonary embolism is very rare condition and it has been described only twice [13, 14]. Pathophysiological mechanism of this syndrome is thought to be compression of the left recurrent laryngeal nerve between the aorta and dilated pulmonary artery [12], and this can be well appreciated from the axial CT images and coronal and sagittal reformats (Figures 3 and 4).…”

Section: Discussionmentioning

confidence: 99%

Cardiovocal Syndrome (Ortner's Syndrome) Associated with Chronic Thromboembolic Pulmonary Hypertension and Giant Pulmonary Artery Aneurysm: Case Report and Review of the Literature

Heikkinen

Milger

Alejandre-Lafont

et al. 2012

Case Reports in Medicine

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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.

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Vocal Cord Paralysis Associated with Pulmonary Emboli

Cited by 28 publications

References 13 publications

Compression of adjacent anatomical structures by pulmonary artery dilation

Compression of adjacent anatomical structures by pulmonary artery dilation

Ortner's syndrome

Cardiovocal Syndrome (Ortner's Syndrome) Associated with Chronic Thromboembolic Pulmonary Hypertension and Giant Pulmonary Artery Aneurysm: Case Report and Review of the Literature

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