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Anales de Otorrinolaringología Mexicana

2024, Number 1

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Otorrinolaringología 2024; 69 (1)

Vocal fold paralysis associated to aortic aneurysm

González AM, Lamas MP, Lagunes CV, Morales CGM

Language: Spanish
References: 10
Page: 50-56
PDF size: 499.67 Kb.


ABSTRACT

Background: Dysphonia is a common symptom among ENT consultation, it can be caused by vocal fold paralysis. Ortner’s or cardiovocal syndrome is a rare condi- tion, accounting for less than 11% of all causes of recurrent laryngeal nerve paralysis. Aortic aneurysms are the most common cause of Ortner’s syndrome, these can be fungal, atherosclerotic, traumatic and with or without aortic dissection.
Clinical case: An 88-year-old male patient who reported dyspnea of small efforts of two weeks of evolution, vocal fatigue, pharyngeal globus and bloody expectorations. Diagnostic approach found an aortic aneurysm of 47.7 x 48.5 mm, mural thrombus in the brachiocephalic trunk, as well as paralysis of the left vocal fold.
Conclusions: Aortic aneurysm is the most common cause of Ortner’s syndrome. Even though Ortner’s syndrome is rare, it is extremely important to consider it in the approach of a patient with unilateral paralysis of the vocal cords.


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