Combined Left Recurrent Laryngeal Nerve and Phrenic Nerve Palsy: A Rare Presentation of Thoracic Aortic AneurysmCorrespondence Address :
Dr. Pradosh Kumar Sarangi,
Junior Resident, Department of Radiodiagnosis, SCB Medical College and Hospital, Cuttack-753007, Odisha, India.
Hoarseness of voice due to Vocal Cord Palsy (VCP) resulting from aortic aneurysm is a rare entity. Hoarseness due to left Recurrent Laryngeal Nerve (RLN) paralysis caused by identifiable cardiovascular disease has been described as Ortner's syndrome or Cardiovocal syndrome. Very rarely, thoracic aortic aneurysm can cause Phrenic Nerve (PN) palsy causing hemidiaphragm paralysis. But, aortic aneurysm causing both RLN and PN palsy is an extremely rare occasion. Our literature review showed only three cases of combined RLN and PN palsy due to thoracic aortic aneurysm. Here we report a 70-year-old patient having hoarseness of voice for six years for which he was on symptomatic treatment. He presented to us with cough and blood tinged sputum, left sided chest pain, loss of appetite and weakness since two months duration. Based on clinical history and chest radiograph, lung malignancy was suspected. To our surprise, Contrast Enhanced Computed Tomography (CECT) revealed partially thrombosed saccular thoracic aneurysm originating distal to origin of left subclavian artery. He was referred to the cardiothoracic vascular surgeon for surgical treatment, but was reluctant to go for surgery. He is now being followed up by cardiothoracic vascular surgery and cardiology department and his condition has remained the same.
Computed tomography, Hoarseness, Ortners’ syndrome, Thoracic malignancy, Vocal cord paralysis
Pradosh Kumar Sarangi, Pratisruti Hui, HS Sagar, Dinesh Kumar Kisku, Jayashree Mohanty. COMBINED LEFT RECURRENT LARYNGEAL NERVE AND PHRENIC NERVE PALSY: A RARE PRESENTATION OF THORACIC AORTIC ANEURYSM. Journal of Clinical and Diagnostic Research [serial online] 2017 May [cited: 2017 Jun 28 ]; 11:TD01-TD02. Available from
Date of Submission: Oct 26, 2016
Date of Peer Review: Jan 18, 2017
Date of Acceptance: Mar 09, 2017
Date of Publishing: May 01, 2017
Financial OR OTHER COMPETING INTERESTS: None.
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