TITLE:
Expect the Unexpected: A Unique Association of Bicuspid Aortic Valve, with Severe Aortic Stenosis and Dilation of Ascending Aorta, with Cervical Vagus Nerve Schwannoma
AUTHORS:
Shivanand Patil, Rangaraj Ramalingam, Kasamshetty Subramanyam, Deepak Pujar, Cholenahally Nanjappa Manjunath
KEYWORDS:
Ortner’s Syndrome, Bicuspid Aortic Valve, Vagus Nerve, Schwannoma, Hoarseness of Voice
JOURNAL NAME:
International Journal of Clinical Medicine,
Vol.6 No.4,
April
22,
2015
ABSTRACT: Hoarseness of voice is a common symptom of many laryngeal and extralaryngeal conditions. It is very crucial to identify the culprit behind it, keeping in mind all the various differentials. We re-port a case of a 35-year-old woman presenting with complaint of hoarseness of voice. Upon car-diac evaluation, the patient was diagnosed with bicuspid aortic valve, with severe aortic stenosis and dilation of ascending aorta. We suspected that the plausible reason for hoarseness of voice was compression of recurrent laryngeal nerve due to dilation of aorta, i.e., Ortner’s syndrome. But to our surprise, CT of aorta and neck revealed extensive elongated cervical vagus nerve schwannoma. Such type of association is unique and new to voluminous medical literature.