Ortner's Syndrome and Endoluminal Treatment of a Thoracic Aortic Aneurysm

Abstract

Left recurrent laryngeal nerve paralysis was first described in 1897 by Ortner in a patient with mitral valve disease. However, this paralysis has also been attributed to other cardiovascular pathologies, such as thoracic aortic aneurysms. In 1971, Parodi introduced the endoluminal technique by inserting endovascular prostheses for the treatment of vascular aneurysms. The authors present a case of acute dysphonia following left recurrent laryngeal nerve paralysis, confirmed by laryngoscopy, in a patient who was diagnosed with a saccular thoracic aortic aneurysm and treated with endovascular prostheses. It was not necessary to perform any additional surgical procedures on the vocal folds because the patient showed sufficient improvement during speech therapy. Follow-up exams at 3 and 6 months demonstrated the lack of any swallowing or respiratory disorders.

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References

Ortner N : Recurrens L‰hmung bei Mitralstenose. Vienna: Klin Wechenschi 10:753-755, 1897.

Valle BR , Arjona MR , Gonz·lez MJ : Par·lisis del nervio larìngeo recurrente izquierdo en un paciente con hipertensiûn pulmonar. Med Clin (Barc) 96:158-159, 1991.

Martìnez Sande JL , Amarop Cendon A , Blanco Labrador E , et al: Par·lisis del nervio larìngeo recurrente izquierdo de etiologìa cardiovascular. Med Clin (Barc) 98:158-158, 1992.

Weedson GE , Kendrick B : Laryngeal paralysis as the presenting sign of aortic trauma. Arch Otolaryngol Head Neck Surg 115:1100-1102, 1989.

Buller N , Zohar Y , Shvilly Y : Recurrent laryngeal nerve paralysis during transvenous insertion of a permanent endocardial pacemaker. Ann Otol Rhinol Laryngol 102:810-813, 1993.

Parodi JC , Palmaz JC , Barone HD : Transfemoral intraluminal graft implantation for abdominal aortic aneurysms. Ann Vasc Surg 5:491-499, 1991.

Creeh O Jr : Endo–aneurysmorraphy and treatment of aortic aneurysm. Ann Surg 164:935-946, 1966.

Mitchel RS , Dake MD , Semba CP , et al: Endovascular stent–graft repair of thoracic aortic aneurysm. J Thorac Cardiovasc Surg 111:1054-1062, 1996.

Groves LK : Traumatic aneurysm of the thoracic aorta. N Engl J Med 270:220-224, 1964.

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Stoob K , Alkadhi H , Lachat M , et al: Resolution of hoarseness after endovascular repair of thoracic aortic aneurysm: A case of Ortner's syndrome. Ann Otol Rhinol Laryngol 113:43-45, 2004.