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

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

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...

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Main Authors: Jaakko Heikkinen, Katrin Milger, Enrique Alejandre-Lafont, Christian Woitzik, Detlef Litzlbauer, Julia-Franziska Vogt, Jens Peter Klußmann, Ardeschir Ghofrani, Gabriele A. Krombach, Henning Tiede
Format: Article
Language:English
Published: Hindawi Limited 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/230736
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spelling doaj-23eeb0c333d946539bbc0b932cdc83ef2020-11-24T23:43:12ZengHindawi LimitedCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/230736230736Cardiovocal Syndrome (Ortner's Syndrome) Associated with Chronic Thromboembolic Pulmonary Hypertension and Giant Pulmonary Artery Aneurysm: Case Report and Review of the LiteratureJaakko Heikkinen0Katrin Milger1Enrique Alejandre-Lafont2Christian Woitzik3Detlef Litzlbauer4Julia-Franziska Vogt5Jens Peter Klußmann6Ardeschir Ghofrani7Gabriele A. Krombach8Henning Tiede9Department of Radiology, Turku University Hospital, Kiinamyllynkatu 4-8; PL 52, 20521 Turku, FinlandDepartment of Internal Medicine, University of Giessen Lung Center, University Hospital Giessen and Marburg, Klinikstrasse 33, 35392 Gießen, GermanyDepartment of Radiology, University Hospital Giessen and Marburg, Justus Liebig University, Klinikstrasse 33, 35392 Gießen, GermanyDepartment of Radiology, University Hospital Giessen and Marburg, Justus Liebig University, Klinikstrasse 33, 35392 Gießen, GermanyDepartment of Radiology, University Hospital Giessen and Marburg, Justus Liebig University, Klinikstrasse 33, 35392 Gießen, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Giessen and Marburg, Justus Liebig University, Klinikstrasse 33, 35392 Gießen, GermanyDepartment of Otorhinolaryngology, Head and Neck Surgery, University Hospital Giessen and Marburg, Justus Liebig University, Klinikstrasse 33, 35392 Gießen, GermanyDepartment of Internal Medicine, University of Giessen Lung Center, University Hospital Giessen and Marburg, Klinikstrasse 33, 35392 Gießen, GermanyDepartment of Radiology, University Hospital Giessen and Marburg, Justus Liebig University, Klinikstrasse 33, 35392 Gießen, GermanyDepartment of Internal Medicine, University of Giessen Lung Center, University Hospital Giessen and Marburg, Klinikstrasse 33, 35392 Gießen, GermanyCardiovocal 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.http://dx.doi.org/10.1155/2012/230736
collection DOAJ
language English
format Article
sources DOAJ
author Jaakko Heikkinen
Katrin Milger
Enrique Alejandre-Lafont
Christian Woitzik
Detlef Litzlbauer
Julia-Franziska Vogt
Jens Peter Klußmann
Ardeschir Ghofrani
Gabriele A. Krombach
Henning Tiede
spellingShingle Jaakko Heikkinen
Katrin Milger
Enrique Alejandre-Lafont
Christian Woitzik
Detlef Litzlbauer
Julia-Franziska Vogt
Jens Peter Klußmann
Ardeschir Ghofrani
Gabriele A. Krombach
Henning Tiede
Cardiovocal Syndrome (Ortner's Syndrome) Associated with Chronic Thromboembolic Pulmonary Hypertension and Giant Pulmonary Artery Aneurysm: Case Report and Review of the Literature
Case Reports in Medicine
author_facet Jaakko Heikkinen
Katrin Milger
Enrique Alejandre-Lafont
Christian Woitzik
Detlef Litzlbauer
Julia-Franziska Vogt
Jens Peter Klußmann
Ardeschir Ghofrani
Gabriele A. Krombach
Henning Tiede
author_sort Jaakko Heikkinen
title Cardiovocal Syndrome (Ortner's Syndrome) Associated with Chronic Thromboembolic Pulmonary Hypertension and Giant Pulmonary Artery Aneurysm: Case Report and Review of the Literature
title_short Cardiovocal Syndrome (Ortner's Syndrome) Associated with Chronic Thromboembolic Pulmonary Hypertension and Giant Pulmonary Artery Aneurysm: Case Report and Review of the Literature
title_full Cardiovocal Syndrome (Ortner's Syndrome) Associated with Chronic Thromboembolic Pulmonary Hypertension and Giant Pulmonary Artery Aneurysm: Case Report and Review of the Literature
title_fullStr Cardiovocal Syndrome (Ortner's Syndrome) Associated with Chronic Thromboembolic Pulmonary Hypertension and Giant Pulmonary Artery Aneurysm: Case Report and Review of the Literature
title_full_unstemmed Cardiovocal Syndrome (Ortner's Syndrome) Associated with Chronic Thromboembolic Pulmonary Hypertension and Giant Pulmonary Artery Aneurysm: Case Report and Review of the Literature
title_sort cardiovocal syndrome (ortner's syndrome) associated with chronic thromboembolic pulmonary hypertension and giant pulmonary artery aneurysm: case report and review of the literature
publisher Hindawi Limited
series Case Reports in Medicine
issn 1687-9627
1687-9635
publishDate 2012-01-01
description 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.
url http://dx.doi.org/10.1155/2012/230736
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