الملخص الإنجليزي
Hoarseness is a common clinical condition with underlying causes which can vary from reversible and
benign to life-threatening and malignant. Cardiovocal syndrome may cause hoarseness secondary to left recurrent
laryngeal nerve palsy when the recurrent laryngeal nerve is mechanically affected due to enlarged cardiovascular
structures. We report a 28-year-old male who presented to the Government Medical College, Thiruvananthapuram,
India, in 2013 with hoarseness. He had undergone irregular treatment for pulmonary tuberculosis (TB) two years
previously. Fiber-optic laryngoscopy indicated left vocal cord palsy and a computed tomography scan of the chest
revealed features of pulmonary hypertension with extensive enlargement of the pulmonary arteries. An echocardiogram
confirmed severe pulmonary arterial hypertension with severe tricuspid regurgitation. He was diagnosed with left
recurrent laryngeal palsy secondary to cardiovocal syndrome. Although reports exist of recurrent laryngeal palsy in
TB, this case appears to be the first to report cardiovocal syndrome in a patient treated for pulmonary TB
