Wang Hsing-Won, Chen Mei-Chien, Chao Pin-Zhir, Lee Fei-Peng
Department of Otolaryngology, Taipei Medical University, Shuang-Ho Hospital, No. 291, Jhong-Jheng Road, Jhonghe District, New Taipei City 23561, Taiwan; Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei City, Taiwan; Department of Preventive and Community Medicine, Taipei Medical University, Shuang-Ho Hospital, No. 291, Jhong-Jheng Road, Jhonghe District, New Taipei City 23561, Taiwan.
Department of Otolaryngology, Taipei Medical University, Shuang-Ho Hospital, No. 291, Jhong-Jheng Road, Jhonghe District, New Taipei City 23561, Taiwan.
Case Rep Otolaryngol. 2016;2016:9867942. doi: 10.1155/2016/9867942. Epub 2016 Mar 20.
We reported that a 68-year-old man presented to the ENT outpatient department complaining of hoarseness for more than 10 months. Clinical exam identified left vocal palsy in the paramedian position and atrophic vocal folds were noted. Chest radiography revealed a large bulging contour overlying aorta and left hilar shadow. Aortic aneurysm was proved by CT scanning. Contrast-enhanced chest computed tomography for further evaluation showed a broad-based aortic aneurysm at proximal descending aorta, projecting anterolaterally. Cardiovocal syndrome was proved. The syndrome is a rare clinical presentation. While a patient with unilateral vocal palsy is encountered, one might keep in mind the possibility of cardiovocal syndrome especially in an adult who had a cardiovascular disease.
我们报告了一名68岁男性因声音嘶哑10多个月就诊于耳鼻喉科门诊。临床检查发现左侧声带麻痹处于旁正中位，并观察到声带萎缩。胸部X线片显示主动脉上方有一大的膨出轮廓及左侧肺门阴影。CT扫描证实为主动脉瘤。增强胸部计算机断层扫描进一步评估显示降主动脉近端有一宽基底主动脉瘤，向前外侧突出。证实为心血管性嗓音综合征。该综合征是一种罕见的临床表现。当遇到单侧声带麻痹的患者时，尤其是患有心血管疾病的成年人，应考虑到心血管性嗓音综合征的可能性。
