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2015, Cilt 6, Sayı 1, Sayfa(lar) 049-051
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Hoarseness Secondary to Cardiovascular Disease: Cardiovocal Sydrome in a Patient With Pulmonary Artery Aneurysm and Giant Atria
Serkan Duyuler1, Pınar Türker Bayır2, Ahmet Korkmaz3, Yeşim Güray4, Erdemli Özcan5
1Acıbadem Ankara Hastanesi, Kardiyoloji Bölümü, Ankara, Türkiye
2Ankara Numune Eğitim ve Araştırma Hastanesi, Kardiyoloji Bölümü, Ankara, Türkiye
3Çankırı Devlet Hastanesi, Kardiyoloji Bölümü, Çankırı, Türkiye
4Türkiye Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Kardiyoloji Bölümü, Ankara, Türkiye
5Acıbadem Ankara Hastanesi, Anestezi Bölümü, Ankara, Türkiye
Keywords: hoarseness, cardiovocal syndrome, pulmonary artery, aneurysm
Abstract
Cardiovocal syndrome or Ortner syndrome is the hoarseness secondary to recurrent laryngeal nerve palsy due to compression enlarged cardiovascular structures. Dilated left atrium with mitral valve disease is a well-known cause for this rare syndrome; however several cardiovascular conditions also contribute to the pathogenesis. Data suggest that, recurrent laryngeal nerve seems to be compressed in the window between enlarged hypertensive pulmonary artery, aorta and ligamentum arteriosum not solely by enlarged left atrium. In this context, we presented a case of cardiovocal syndrome in a patient with pulmonary artery aneurysm, giant atria and corrected atrial septal defect. The patient was admitted for gradual hoarseness for two years and laryngoscopy revealed left vocal cord paralysis. Cardiovascular examination with transthoracic echocardiography showed pulmonary artery aneurysm with giant atria which is compatible with cardiovocal syndrome.
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