Hoarseness —As a presenting feature of aortic arch aneurysm

  • John Mathai
  • Swapna U. P. 
Short Communication


Hoarseness due to left recurrent laryngeal nerve paralysis (LRLN) caused by identifiable cardiovascular disease is described as Ortner’s syndrome or Cardiovocal syndrome. This was first described by Ortner in 1897 to describe left recurrent laryngeal nerve palsy secondary to Mitral Stenosis. The common conditions which gave rise to Ortners’ syndrome include mitral stenosis, mitral valve prolapse, aortic aneurysm, septal defect, following cardiothoracic surgery, high altitude pulmonary hypertension, ductal aneurysm, aortic dissection etc. Herewith we are presenting an unusual presentation of Aortic arch aneurysm.

Key words

Aortic arch aneurym laryngeal nerve paralysis 


  1. 1.
    Gray’s Anatomy, 38th Edition, Pages 1251–1253 Google Scholar
  2. 2.
    High Altitude induced Ortener’s syndrome.Col.SS Panwar, Lt. Col. AK Mehta, Surg. Cdr RK Verma, Sqn Ldr B Mukherji MJAFI 2004, 60:182–183 Google Scholar
  3. 3.
    Images in Thorax. A rare cause of Ortner’s syndrome.JT Annema, JJ Brahim, KF Rabe Thorax 2004;59:636 PubMedCrossRefGoogle Scholar
  4. 4.
    Laryngeal paralysis as a presenting sign of aortic trauma.Woodsen GE, Kendrick B.Arch Otolaryngol Head Neck Surg. 1989 September, 115 (9):443–4 Google Scholar
  5. 5.
    Left vocal cord paralysis and aortic arch aneurysm, an unusual presentation.Gupta KB, Tendon S, Yadav RK Indian J Med. Sci. 2002 Sep; 56(9);443–4 PubMedGoogle Scholar
  6. 6.
    Ortner’s syndrome: a centenary review of unilateral recurrent laryngeal nerve palsy secondary to cardio-thoracic disease.Thirlwall AS J Laryngol Otol 1997 Sep; 111(9):869 -71 PubMedCrossRefGoogle Scholar
  7. 7.
    Ortner’s syndrome: a radiolaogical doagnosis. A case report.IC Bickle, BE Kelly, DS Brooker.The Ulster Medical Journal, 2002 May, Volume 71, No.1, pp 55–56 PubMedGoogle Scholar
  8. 8.
    Scott Brown’s Otolaryngology. Laryngology and Head and Neck Surgery 6th Edition 5/9/12–5/9/13 Google Scholar
  9. 9.
    Vocal Cord Plasy — A re-evaluations.Mac Rgor FB J. Laryngol Otol 1994;108:193–6 Google Scholar
  10. 10.
    Vocal Cord Paralysis after surgery for Thoracic Aortic Aneurysm Shin-ichi Ishimoto et al., Chest /121/6June 2002: 1911–1915 Google Scholar

Copyright information

© Association of Otolaryngologists of India 2006

Authors and Affiliations

  • John Mathai
    • 1
  • Swapna U. P. 
    • 1
  1. 1.Department of ENTGovernment Medical CollegeKottayam, Kerala

Personalised recommendations