Combined Left Recurrent Laryngeal Nerve and Phrenic Nerve Palsy: A Rare Presentation of Thoracic Aortic Aneurysm
Hoarseness of voice due to Vocal Cord Palsy (VCP) resulting from aortic aneurysm is a rare entity. Hoarseness due to left Recurrent Laryngeal Nerve (RLN) paralysis caused by identifiable cardiovascular disease has been described as Ortner's syndrome or Cardiovocal syndrome. Very rarely, thora...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2017-05-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/9765/25035_CE[Ra]_F(Sh)_PF1(PrGGH)_PFA(P_PrG).pdf |
| Summary: | Hoarseness of voice due to Vocal Cord Palsy (VCP) resulting from aortic aneurysm is a rare entity. Hoarseness due to left Recurrent
Laryngeal Nerve (RLN) paralysis caused by identifiable cardiovascular disease has been described as Ortner's syndrome or
Cardiovocal syndrome. Very rarely, thoracic aortic aneurysm can cause Phrenic Nerve (PN) palsy causing hemidiaphragm paralysis.
But, aortic aneurysm causing both RLN and PN palsy is an extremely rare occasion. Our literature review showed only three
cases of combined RLN and PN palsy due to thoracic aortic aneurysm. Here we report a 70-year-old patient having hoarseness
of voice for six years for which he was on symptomatic treatment. He presented to us with cough and blood tinged sputum, left
sided chest pain, loss of appetite and weakness since two months duration. Based on clinical history and chest radiograph, lung
malignancy was suspected. To our surprise, Contrast Enhanced Computed Tomography (CECT) revealed partially thrombosed
saccular thoracic aneurysm originating distal to origin of left subclavian artery. He was referred to the cardiothoracic vascular
surgeon for surgical treatment, but was reluctant to go for surgery. He is now being followed up by cardiothoracic vascular surgery
and cardiology department and his condition has remained the same. |
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| ISSN: | 2249-782X 0973-709X |