Cardiovocal Syndrome: Aortic Dissecting Aneurysm Presenting as Hoarseness

聲音沙啞在臨床上是很常見的問題，但是有時也意味著嚴重疾病的初期表現。影響返喉神經的病灶常會造成聲帶麻痺和聲音沙啞。因為解剖位置的特殊性，左側返喉神經經常被影響到。心因性聲帶麻痺是因為心血管疾病影響到左側返喉神經麻痺所造成的症狀。聲音沙啞可以是胸主動脈瘤或是無痛性主動脈剝離的唯一表現，聲帶的功能在經過成功的修補後可能可以復原。我們報告一位聲音沙啞已經一個月的72歲的男性，在主動脈弓和胸主動脈被發現有剝離性動脈瘤，雖然進行了手術，最後卻因為呼吸器難以脫離且死於敗血症。

關鍵字

心因性聲帶麻痺；聲音沙啞；左側聲帶麻痺；主動脈剝離性動脈瘤

並列摘要

Hoarseness is a common clinical problem which may also imply an initial manifestation of serious disease. Lesions affecting the recurrent laryngeal nerve will result in vocal cord paralysis and hoarseness. Malignancy accounts for most of the extralaryngeal causes of vocal cord paralysis, but other causes could include even cardiovascular disease. Cardiovocal syndrome is a left recurrent laryngeal nerve palsy caused by cardiovascular disease. Hoarseness may be the only presentation of thoracic aortic aneurysm or painless dissection. Vocal cord function can return after successful repair. We report a 72 year-old man who had hoarseness for 1 month. Dissecting aneurysms of the aortic arch and thoracic aorta were found. An operation was performed, but the patient had difficulty weaning from the ventilator and died of sepsis.

並列關鍵字

cardiovocal syndrome ； hoarseness ； left vocal cord palsy ； aortic dissecting aneurysm

國際替代計量

Cardiovocal Syndrome: Aortic Dissecting Aneurysm Presenting as Hoarseness

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