Abstract
BackgroundThe natural history of patients diagnosed with Eisenmenger’s Syndrome typically revolve around the pediatric population. Medical advances have allowed these patients to live longer and present with a different subset of symptoms as a result of the progression of their disease process.Case presentationIn this case report, we discuss a 77-year-old Caucasian female with Eisenmenger’s Syndrome presenting with hoarseness. Clinical and imaging studies reveal a left vocal cord paralysis secondary to a progressively enlarging patent ductus arteriosus (PDA) and dilation of pulmonary arteries causing mass effect on the left recurrent laryngeal nerve.ConclusionFrom a clinical perspective, this case highlights the need for otolaryngologists to be aware of the pathophysiology of Eisenmenger’s Syndrome as it progresses with age.
Highlights
ConclusionThis case highlights the need for otolaryngologists to be aware of the pathophysiology of Eisenmenger’s Syndrome as it progresses with age
The natural history of patients diagnosed with Eisenmenger’s Syndrome typically revolve around the pediatric population
Eisenmenger Syndrome is a congenital heart disease which presents with a large cardiac defect and an overriding aorta [1]
Summary
In keeping with our case study, we believe that slow worsening of cardiac function subsequently led to the dilatation of the pulmonary arteries in a 77-year-old woman with a history of long-standing PDA resulting in a mass effect on the left recurrent laryngeal nerve, causing hoarseness of voice.
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