scholarly journals Hoarseness Due to Right Vocal Cord Paralysis Associated with Aortic Diverticulum from Right Aortic Arch—A Rare and Unusual Vascular Etiology of Right Vocal Cord Paralysis

2015 ◽  
Vol 04 (02) ◽  
pp. 99-103
Author(s):  
Produl Hazarika ◽  
Seema E. Punnoose ◽  
Sanjay Arora ◽  
Ramagowdanapura Sadashivan Diesh ◽  
Raghavendra K. Itgampalli ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Right Aortic Arch ◽  
Aortic Diverticulum

scholarly journals Vocal Cord Paralysis and Dysphagia after Aortic Arch Reconstruction and Norwood Procedure

2014 ◽  
Vol 150 (5) ◽  
pp. 827-833 ◽  
Author(s):  
Vinh Pham ◽  
Diana Connelly ◽  
Julie L. Wei ◽  
Kevin J. Sykes ◽  
Jim O’Brien
Keyword(s):  
Aortic Arch ◽  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Norwood Procedure ◽  
Aortic Arch Reconstruction ◽  
Arch Reconstruction

Distal Limited Open Stenting for Aortic Diverticulum in the Right Aortic Arch

2019 ◽  
Vol 57 ◽  
pp. 272.e5-272.e7
Author(s):  
Akihiro Yoshitake ◽  
Masato Tochii ◽  
Toshihisa Asakura ◽  
Akitoshi Takazawa ◽  
Hiroyuki Nakajima
Keyword(s):  
Aortic Arch ◽  
Right Aortic Arch ◽  
Aortic Diverticulum ◽  
The Right

A strident girl

2019 ◽  
pp. edpract-2019-317625
Author(s):  
Francesca Corrias ◽  
Valentina Gesuete ◽  
Flora Maria Murru ◽  
Massimo Maschio ◽  
Egidio Barbi
Keyword(s):  
Aortic Arch ◽  
Vocal Cord ◽  
Vital Capacity ◽  
Right Aortic Arch ◽  
Vocal Cord Dysfunction ◽  
List Type ◽  
White Arrow ◽  
Forced Expiratory Flow ◽  
Expiratory Flow ◽  
The Right

A 12-year-old girl was referred with a 7-month history of episodes of dyspnoea, stridor and a sense of chest constriction during physical exercise. These were self-limiting and never occurred at night. Physical examination was normal. An initial diagnosis of vocal cord dysfunction was made.Spirometry showed a plateau of forced expiratory flow, with a truncated aspect of the expiratory phase (figure 1). Six weeks later she described occasional dysphagia with solid foods. The barium swallow, performed only in anteroposterior projection, did not show oesophageal dilation. A bronchoscopy showed extrinsic compression of the middle lower third of the trachea and the right main bronchus. A chest CT scan was performed (figures 2 and 3).Figure 1The spirometry showed a truncated expiratory phase with a substantially decreased PEF, compared with FEV1: indicating central intrathoracic airway obstruction. FEF, forced expiratory flow; FEV1, forced expiratory volume in 1 s; FIF, forced inspiratory flow; FIV1, forced inspiratory volume in 1 s; FIVC, forced inspiratory vital capacity; FVC, forced vital capacity; PEF, peak expiratory flow; PIF, peak inspiratory flow.Figure 2Contrast enhanced CT axial section image showing right aortic arch (white arrow on the left) with aberrant subclavian artery (red arrow on the right) encircling the trachea and the oesophagus.Figure 3CT three-dimensional reconstruction arteriography posterior view showing right aortic arch (white arrow), diverticulum of Kommerell (white star) from which the left subclavian artery (red arrow) arose. D Ao, descending aorta.QuestionsWhat is your diagnosis?Persistent vocal cord dysfunctionAchalasiaVascular ringAsthmaWhat is the gold standard for diagnosis of VR?ECGChest radiographCT and/or MRIBronchoscopyHow should this patient be treated?Surgical correctionVideo-assisted thoracoscopyDecompression of the oesophagus with a nasogastric tubeInspiratory muscle training and ipratropium bromide inhalerWhat signs in the history pointed away from vocal cord dysfunction?Dysphagia with solid food was present.The episodes of dyspnoea and stridor never occurred at night.The episodes arose mainly on exertion.The episodes of dyspnoea and stridor were self-limiting.Answers can be found on page 2.

scholarly journals Vocal cord paralysis after aortic arch surgery: Predictors and clinical outcome

2006 ◽  
Vol 43 (4) ◽  
pp. 721-728 ◽  
Author(s):  
Noriyuki Ohta ◽  
Toru Kuratani ◽  
Satoshi Hagihira ◽  
Ken-Ichiro Kazumi ◽  
Mitsunori Kaneko ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Aortic Arch ◽  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Aortic Arch Surgery
Sign in / Sign up

Export Citation Format

Share Document