The role of the cardiovascular system pathology in the development of recurrent laryngeal nerve palsy

The aim of the review was to demonstrate the most frequent cardiovascular diseases that can lead to recurrent laryngeal nerve palsy with persistent or transient hoarseness. The frequency of occurrence of recurrent laryngeal nerve palsy is established and the issues of its pathogenesis in patients with disorders of the cardiovascular system are discussed. Ortner's syndrome (cardiovocal syndrome) most commonly occurs in patients with mitral valve stenosis, aortic aneurysm and mediastinal malignancies. The prospects of restoration of voting in these patients after surgical and conservative treatment are analyzed. Finally the most informative methods of diagnosis and the examination tactics in patients with sudden hoarseness are presented.

Arifputera A., Loo G., Chang P., Kojodjojo P. An unusual case of dysphonia and dysphagia. Singapore Med. J. 2014; 55 (2): e31-3.

Berekat I.I., Azzu A. A rare cardiac cause of hoarseness of voice. Libyan J. Med. 2010; 5. DOI: 10.4176/091029.

Okoye O., Anusim N., Shon A., Mirrakhimov A.E. Ortner's syndrome: a rare cause of hoarseness. BMJ Case Rep. 2013; 2013. DOI: 10.1136/bcr-2013-010016.

Mathai J., Swapna U.P. Hoarseness - as a presenting feature of aortic arch aneurysm. Indian J. Otolaryngol. Head Neck Surg. 2006; 58 (3): 309-10.

Jaafar R., Mohamad I. Hoarseness as the sole symptom of an impending thoracic aneurysm rupture? Malays Fam. Physician. 2014; 9 (1): 25-7.

Latus J., Franke U., Alscher M.D., Braun N. A 56-year-old woman with stress-induced hoarseness. BMJ Case Rep. 2012; 2012. DOI: 10.1136/bcr.01.2012.5688.

Annema J., Brahim J., Rabe K. A rare cause of Ortner's syndrome (cardiovocal hoarseness). Thorax. 2004; 59 (7): 636.

Okoye O., Anusim N., Shon A., Mirrakhimov A.E. Ortner's syndrome: a rare cause of hoarseness. BMJ Case Rep. 2013; 2013. DOI: 10.1136/bcr-2013-010016.

Gnagi S.H., Howard B.E., Hoxworth J.M., Lott D.G. Acute contained ruptured aortic aneurysm presenting as left vocal fold immobility. Case Rep. Otolaryngol. 2015; 2015. DOI: 10.1155/2015/219090.

Madke B.S., Agrawal N.B., Vaideeswar P., Pradhan M., Rojekar A.V., Khopkar U.S. Luetic aortopathy: revisited. Indian J. Sex. Transm. Dis. 2010; 31 (2): 118-121.

Lee S.J., Kim J.H., Na C.Y., Oh S.S., Kim Y.M., Lee C.K., Lim D.S. Eleven years of experience with the neurologic complications in Korean patients with acute aortic dissection: a retrospective study. BMC Neurol. 2013; 13 (1): 46.

Kokotsakis J., Misthos P., Athanassiou T., Skouteli E., Rontogianni D. Acute Ortner's syndrome arising from ductus arteriosus aneurysm. Tex. Heart Inst. J. 2008; 35 (2): 216-7.

Shankar O., Lohiya B.V. Cardiovocal syndrome - a rare presentation of primary pulmonary hypertension. Indian Heart J. 2014; 66 (3): 375-7.