HOARSENESS IN HEART DISEAS
Authors: J L THOMPSON, A D KISTIN
Journal: Annals of Internal Medicine (1948)

Article1 August 1948HOARSENESS IN HEART DISEASJ. LAWN THOMPSON JR., M.D., F.A.C.P., ALBERT D. KISTIN, M.D.J. LAWN THOMPSON JR., M.D., F.A.C.P.Search for more papers by this author, ALBERT D. KISTIN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-29-2-259 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptLeft recurrent laryngeal nerve palsy in association with heart disease is apparently very uncommon. Review of the literature reveals sporadic reports. We have been able to find only 30 cases in which necropsy findings are recorded. Mitral stenosis, coronary arteriosclerotic heart disease with congestive failure, and congenital heart disease with pulmonary artery dilatation are among the etiological factors reported. From a review of the literature and study of the cases herein reported it is apparent that dilatation of the pulmonary artery is the prime cause of the nerve injury. Other common cardiovascular abnormalities causing left recurrent laryngeal nerve palsy (manifested...Bibliography1. MALLORY FB: Pathological technique, 1944, W. B. Saunders Co., Philadelphia, Pa., p. 228. Google Scholar2. FETTEROLFNORRIS GGW: The anatomical explanation of the paralysis of the left recurrent laryngeal nerve found in certain cases of mitral stenosis, Am. Jr. Med. Sci., 1911, cxli, 625. Google Scholar3. REICHE F: Linksseitige Rekurrenslähmung bei Mitralstenose, Med. Klin., 1926, xxii, 1142. Google Scholar4. SCHEIFLEYSMITH CHHL: Mitral stenosis and paralysis of the left recurrent laryngeal nerve, Minnesota Med., 1942, xxv, 362. Google Scholar5. NEWCHILDREY GBJH: Paralysis of the vocal cords. A study of 217 medical cases, Arch. Otolaryng., 1932, xvi, 143. CrossrefGoogle Scholar6. KELLY AB: Neurological and mechanical factors underlying immobility of the vocal cords. I. The neurological aspect, Brit. Med. Jr., 1927, ii, 678. Google Scholar7. NOTKIN M: Paralysis of the left recurrent laryngeal nerve in mitral stenosis, Arch. Int. Med., 1924, xxxiii, 71. CrossrefGoogle Scholar8. KLEIN F: Über einen Fall von Linksseitiger Rekurrenslähmung bei einem Mitralvitium, Med. Klin., 1922, xviii, 76. Google Scholar9. LANGERON L: Rétrécissement mitral—paralysie recurrentielle—syndrome de Claude Bernard-Horner, Bruxelles-med., 1928, ix, 163. Google Scholar10. ALPERT S: Recurrent laryngeal nerve palsy in mitral stenosis, Am. Heart Jr., 1943, xxv, 689. CrossrefGoogle Scholar11. EIZAGUIRRE L: Estrechez mitral con signo de Ortner, Med. ibera, 1935, i, 465. Google Scholar12. KINGHITZIGFISHBERG FHWMAM: Recurrent laryngeal paralysis in left ventricular failure, Am. Jr. Med. Sci., 1934, clxxxviii, 691. Google Scholar13. HOTZ A: Uber angeborene Trikuspidinsuffizienz, Jahrb. f. Kinderheilk., 1923, cii, 1. Google Scholar14. WAHLGARD HARL: Aneurysm of the pulmonary artery, Surg., Gynec. and Obst., 1931, lii, 1129. Google Scholar15. ERLANGERLEVINE HSA: Atrial septal defect. A report of two cases in which there was recurrent laryngeal nerve paralysis, Am. Heart Jr., 1943, xxvi, 520. CrossrefGoogle Scholar16. BAUMGARTNERABBOTT EAME: Interventricular septal defect with dextroposition of aorta and dilatation of the pulmonary artery ("Eisenmenger complex") terminating by cerebral abscess, Am. Jr. Med. Sci., 1929, clxxvii, 639. CrossrefGoogle Scholar17. TALLEY JE: Tetralogy of Fallot (Eisenmenger type) with hypoplasia of the dextroposed aorta, Am. Jr. Med. Sci., 1936, cxci, 618. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Washington, D. C.*Received for publication August 8, 1947.Published with permission of the Chief Medical Director, Department of Medicine and Surgery, who assumes no responsibility for opinions expressed or conclusions drawn by the authors.From the Medical Service and the Cardiovascular Research Unit, Veterans Administration Hospital, Washington, D. C. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byVocal Cord Paralysis Associated with Cystic FibrosisLeft vocal cord paralysis and chronic obstructive airways disease“Cardio-vocal syndrome”: Laryngeal paralysis in intrinsic heart diseaseEtiology of hoarseness associated with mitral stenosis: Improvement following mitral surgery 1 August 1948Volume 29, Issue 2Page: 259-273KeywordsCardiovascular therapyCoronary heart diseaseHeartMedical servicesMitral stenosisNervesParalysisPulmonary arteriesStable coronary artery diseaseSurgery ePublished: 1 December 2008 Issue Published: 1 August 1948 PDF downloadLoading ...