Systemic lupus erythematosus, pulmonary hypertension, and left recurrent laryngeal nerve palsy.

Left recurrent laryngeal nerve palsy associated with primary pulmonary hypertension and recurrent pulmonary embolism.

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 case of a 56-year-old patient with sudden onset of hoarseness. The patient had known long standing sev...

Ortner syndrome in infants.

Ortner syndrome or cardiovocal syndrome refers to hoarseness of voice due to recurrent laryngeal nerve paralysis secondary to cardiovascular disease. We present three cases of Ortner syndrome in infants with congenital heart disease. All the three cases had moderate to severe pulmonary hypertension with moderately dilated pulmonary artery. We believe that the dilated pulmonary artery caused com...

Common Symptom: Uncommon cause

Introduction: Hoarseness of voice is a very common condition and is caused by recurrent laryngeal nerve palsy. Many possible causes of unilateral vocal cord paralysis are known, including malignant or less often benign tumors, iatrogenic injury, inflammation, or post radiation fibrosis causing nerve palsy due to encasement. Cardiovocal syndrome or Ortner’s syndrome is hoarseness due to left rec...

Left recurrent laryngeal nerve palsy secondary to left pulmonary artery stent in a child.

We report a 10-year-old girl who developed persistent hoarseness after stent placement for the treatment of left pulmonary artery stenosis. Laryngoscopy performed 21 months after stent placement revealed left vocal cord paralysis, presumed secondary to compression of the left recurrent laryngeal nerve by the stent. Pediatric cardiologists should be reminded of this possible rare complication af...