Síndrome de Ortner (Ortner syndrome)

¨A síndrome de Ortner, também conhecida como síndrome cardiovocal, é uma entidade rara, que pode ser secundária a muitos distúrbios cardiopulmonares (aneurismas aórticos, átrio esquerdo dilatado, artéria pulmonar dilatada e ducto arterial patente). A síndrome de Ortner tem como fisiopatologia o comprometimento do nervo laríngeo recorrente entre a aorta e a artéria pulmonar. Os pacientes geralmente apresentam sintomas de alteração da voz, tosse crônica ou disfonia. A confirmação diagnóstica inclui exames endoscópicos da laringe e tomografia computadorizada do crânio, pescoço e tórax. A avaliação tomográfica visa demonstrar, além das alterações laríngeas, a presença de possíveis lesões no trajeto dos nervos vagos e laríngeos recorrentes, desde a base do crânio até a janela aortopulmonar.¨

■ Unilateral recurrent nerve palsy and cardiovascular disease – Ortner´s syndrome

K Klee, C Eick, R Witlandt et al

Journal of Cardiology Cases 2017, vol 15 (3): 88-90

http://www.journalofcardiologycases.com/article/S1878-5409(16)30084-6/fulltext

■ Ortner syndrome secondary to aortic aneurysm

Alexandre Semionov, John Kosiuk

Radiol Case Rep. 2017 Mar; 12(1): 29–30

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5310539/

■ A rare cause of Ortner´s syndrome: pulmonary artery aneurysm

H Erdogan, F Z Arslan, A Cengiz et al

Clin Med Img Lib 2017, vol 3: 063

https://clinmedjournals.org/articles/cmil/cmil-3-063.php?jid=cmil

■ Cardiovocal syndrome secondary to an aortic aneurysm

Hsing-Won Wang, Mei-Chien Chen, Pin-Zhir Chao, Fei-Peng Lee

Case Rep Otolaryngol. 2016; 2016: 9867942

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4818795/

■ Ortner´s syndrome presenting as thoracic aortic aneurysm mimicking thoracic malignancy: a case report

U Pathirana, S Klularatne, S Handagala et AL

Journal of Medical Case Reports 2015, vol 9: 147

https://jmedicalcasereports.biomedcentral.com/articles/10.1186/s13256-015-0629-1

■ Síndrome de Ortner: relato de caso e revisão da literatura

Dutra, Bruno Landim et al.

Radiol Bras, Aug 2015, vol.48, no.4, p.260-262

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-39842015000400012&lng=en&nrm=iso&tlng=pt

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

Zangirolami, Ana Claudia Alves, Oliveira, Frederico Vieira de and Tepedino, Miguel Soares

Int. Arch. Otorhinolaryngol., June 2015, vol.19, no.2, p.180-182

http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1809-48642015000200180&lng=en&nrm=iso

■ Ortner´s: secondary laryngeal paralysis caused by a great thoracic aorta aneurysm

Ana Claudia Alves Zangirolami, Frederico Vieira de Oliveira, Miguel Soares Tepedino

Int Arch Otorhinolaryngol. 2015 Apr; 19(2): 180–182.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4399202/

■ Síndrome cardiovocal (síndrome de Ortner) em um paciente de 16 meses de edad, secundário a un conducto arterioso permeable

R Elizondo-Azuela, A Vizcaíno-Alarcón

An Orl Mex 2015, vol 60: 200-206

http://www.medigraphic.com/pdfs/anaotomex/aom-2015/aom153i.pdf

■ Ortner´s syndrome: a case report and review of the literature

A R Hurtarte Sandoval, R Carlos Zamora, J M Gómez Carrasco, A Jurado Ramos

BMJ Case Rep. 2014; 2014

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4112344/

■ Cardiovocal syndrome – a rare presentation of primary pulmonary hypertension

O Shankar, B V Lohiva

Indian Heart J 2014, vol 66 (3): 375-377

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4121746/

■ Cardiovocal syndrome (Ortner´s syndrome) associated with chronic thromboembolic pulmonary hypertension nd giant pulmonary artery aneurysm: case report and review of the literature

Jaakko Heikkinen, Katrin Milger, Enrique Alejandre-Lafont et l

Case Rep Med. 2012; 2012: 23073

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3477763/

■ Ortner´s syndrome: an unusual cause of cough

C J Grout, K A Simpson, M R Clements

Br J Cardiol 2012, vol 19: 48-49

https://bjcardio.co.uk/2012/03/ortners-syndrome-an-unusual-cause-of-cough/

■ Ascending aortic aneurysm causing hoarse voice: a variant of Ortner´s syndrome

Sinan Robert Eccles, John Banks, Pankaj Kumar

BMJ Case Rep. 2012; 2012: bcr2012007111

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4544936/

■ Unilateral vocal cord paralysis: a review of CT findings, mediastinal causes, and the course of the recurrent laryngel nerves

C M Paquette, D C Manos, B J Psooy

RSNA Radiographics 2012, vol 32 (3)

https://pubs.rsna.org/doi/full/10.1148/rg.323115129

■ Aortic arch patch aortoplasty for Ortner´s syndrome in the age of endovascular stented grafts

Marco L.S. Matteucci, Giuseppe Rescigno, Filippo Capestro, Lucia Torracca

Tex Heart Inst J. 2012; 39(3): 401–404.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3368474/

■ Cardiovocal syndrome (Ortner´s syndrome) associated with chornic thromboembolic pulmonary hypertension and giant pulmonary artery aneurysm: case report and review of the literature

J Heikkinen, K Milger, E Alejandre-Lafont et AL

Case Reports in Medicine 2012, vol 2012 (2012), Article ID 230736, 5 pages

https://www.hindawi.com/journals/crim/2012/230736/

■ Ortner syndrome associated with aortic pseudoaneurysm after repair of aortic coarctation 30 years previously

N Fukunaga, T Koyama, Y Konishi et al

Circulation 2012, vol 125: e937-e938

http://circ.ahajournals.org/content/125/20/e937

■ Giant aortic arch aneurysm and cardio-vocal syndrome: still an open-surgery indication

Jose M. Garrido, Maria Esteban, Juan Lara, Jose F. Rodriguez-Vazquez et al

Cardiol Res. 2011 Dec; 2(6): 304–306

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5358261/

■ Síndrome de Ortner: série de casos e revisão da literatura