{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:51:20Z","timestamp":1753883480300,"version":"3.41.2"},"reference-count":19,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Otolaryngology - Head &amp; Neck Surgery"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> The 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. <\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p> In 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. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> From 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. <\/jats:p><\/jats:sec>","DOI":"10.1186\/s40463-019-0358-3","type":"journal-article","created":{"date-parts":[[2019,8,19]],"date-time":"2019-08-19T14:03:09Z","timestamp":1566223389000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Voice hoarseness in a patient with underlying Eisenmenger's syndrome: A case report"],"prefix":"10.1177","volume":"48","author":[{"given":"Palak","family":"Suryavanshi","sequence":"first","affiliation":[{"name":"College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sreejit","family":"Parameswaran","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada"},{"name":"Division of Otolaryngology \u2013 Head and Neck Surgery, Department of Surgery, University of Saskatchewan, 4th floor, Suite B419, 107 Wiggins Road, S7N 5E5, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nishant","family":"Sharma","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Russell A.","family":"Murphy","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada"},{"name":"Division of Otolaryngology \u2013 Head and Neck Surgery, Department of Surgery, University of Saskatchewan, 4th floor, Suite B419, 107 Wiggins Road, S7N 5E5, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anil R.","family":"Sharma","sequence":"additional","affiliation":[{"name":"College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada"},{"name":"Division of Otolaryngology \u2013 Head and Neck Surgery, Department of Surgery, University of Saskatchewan, 4th floor, Suite B419, 107 Wiggins Road, S7N 5E5, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,1,1]]},"reference":[{"key":"bibr1-s40463-019-0358-3","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5098.701"},{"issue":"12","key":"bibr2-s40463-019-0358-3","first-page":"757","volume":"110","author":"Iveta S","year":"2009","journal-title":"Bratisl Lek Listy"},{"key":"bibr3-s40463-019-0358-3","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl116"},{"key":"bibr4-s40463-019-0358-3","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.025320"},{"key":"bibr5-s40463-019-0358-3","doi-asserted-by":"publisher","DOI":"10.14740\/cr447w"},{"key":"bibr6-s40463-019-0358-3","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-191105000-00001"},{"issue":"4","key":"bibr7-s40463-019-0358-3","first-page":"759","volume":"22","author":"Nakahira M","year":"2001","journal-title":"AJNR Am J Neuroradiol"},{"key":"bibr8-s40463-019-0358-3","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(58)90158-3"},{"key":"bibr9-s40463-019-0358-3","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(85)80413-7"},{"key":"bibr10-s40463-019-0358-3","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-193605000-00003"},{"key":"bibr11-s40463-019-0358-3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ihjccr.2018.02.006"},{"key":"bibr12-s40463-019-0358-3","first-page":"6","volume":"188","author":"King FH","year":"1934","journal-title":"Am J Med Sci"},{"issue":"3","key":"bibr13-s40463-019-0358-3","first-page":"307","volume":"105","author":"Hillman LM","year":"1956","journal-title":"Guys Hosp Rep"},{"key":"bibr14-s40463-019-0358-3","unstructured":"Wallen TJ, Sergent BN. 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