Int Arch Otorhinolaryngol 2015; 19(02): 180-182
DOI: 10.1055/s-0034-1397331
Case Report
Thieme Publicações Ltda Rio de Janeiro, Brazil

Ortner's Syndrome: Secondary Laryngeal Paralysis Caused by a Great Thoracic Aorta Aneurysm

Ana Claudia Alves Zangirolami
1  Department of Otorhinolaryngology, Policlinica de Botafogo, Rio de Janeiro, Brazil
,
Frederico Vieira de Oliveira
1  Department of Otorhinolaryngology, Policlinica de Botafogo, Rio de Janeiro, Brazil
,
Miguel Soares Tepedino
1  Department of Otorhinolaryngology, Policlinica de Botafogo, Rio de Janeiro, Brazil
› Author Affiliations
Further Information

Publication History

03 June 2014

03 November 2014

Publication Date:
05 January 2015 (eFirst)

Abstract

Introduction Recurrent laryngeal nerve injury caused by cardiovascular disease is a rare condition, and often it is the only prominent sign of an imminent break of an aortic artery aneurysm.

Objective To report left laryngeal paralysis caused by a great aortic arch aneurysm and to highlight the importance of an otorhinolaryngologic evaluation along with a thoracic radiologic study.

Resumed Report A 42-year-old man complained of thickness of his voice and dysphagia for 3 months, but no thoracic pain or other relevant complaints. Video laryngoscopy revealed immobility of his left vocal fold in the paramedian position. Imaging was obtained for investigation, including magnetic resonance imaging of his thorax, which showed a fusiform aneurysm in the aortic arch, leading to recurrent compression of the left laryngeal nerve. The patient was successfully treated with endovascular repair of the aneurysm. At 2-month follow-up, there was still no recovery of the laryngeal mobility.

Conclusion An aortic artery aneurysm can suddenly break, requiring emergency heart surgery, and the results can be fatal in many cases. We suggest routine exam of the vocal folds in all patients with a heart condition, and we review the literature and suggest the use of imaging to reduce the number of emergency procedures.