Respiratory distress in a pregnant woman with congenital vocal cord paralysis.
BACKGROUND
Vocal cord paralysis is one of the most common congenital laryngeal lesions. Hoarseness and dysphonia are common in unilateral cases. Stridor and respiratory distress are seen in bilateral cases.


METHODS
A 33-year-old primigravida with bilateral congenital vocal cord paralysis presented in the third trimester with a 2-week history of bronchitis and progressive shortness of breath. She developed stridor, her respiratory status deteriorated, and she was intubated with difficulty. She went into cardiac arrest, was resuscitated and placed on a ventilator, and a tracheotomy was performed. Her condition improved, she remained stable until 38 weeks, and was delivered by cesarean.


CONCLUSIONS
Congenital vocal cord paralysis may result in life-threatening respiratory distress during pregnancy. Tracheotomy placement may be useful in the management of these patients.
Putterman
Sherri
S
Department of Obstetrics and Gynecology, Winthrop-University Hospital, Mineola, New York 11501, USA.
Figueroa
Reinaldo
R
Garry
David
D
D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D011263:Pregnancy Trimester, Third; D011654:Pulmonary Edema / Q000209:etiology; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000601:surgery; D014140:Tracheotomy; D014826:Vocal Cord Paralysis / Q000150:complications* / Q000151:congenital