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http://dx.doi.org/10.4070/kcj.2012.42.7.507

Ortner Syndrome due to Concomitant Mitral Stenosis and Bronchiectasis  

Islam, A.K.M. Monwarul (Department of Cardiology, National Institute of Cardiovascular Diseases)
Zaman, Shahana (Department of Cardiology, National Institute of Cardiovascular Diseases)
Doza, Fatema (Department of Cardiology, National Institute of Cardiovascular Diseases)
Publication Information
Korean Circulation Journal / v.42, no.7, 2012 , pp. 507-510 More about this Journal
Abstract
Ortner syndrome or cardiovocal syndrome is a rare condition characterized by hoarseness of voice associated with cardiovascular pathology. Compression of the left recurrent laryngeal nerve by the pulmonary artery or left atrium is usually responsible. Recurrent aspiration pneumonia may cause significant morbidity and mortality. Early recognition and treatment along with removal of the underlying cause, if possible, may change an otherwise poor prognosis of the condition. The case presented here describes a 35-year old female with hoarseness of voice in association with mitral stenosis and bronchiectasis. Presence of dual pathology contributed to the overall pathophysiology of the disease, and made its management difficult.
Keywords
Mitral stenosis; Recurrent laryngeal nerve; Bronchiectasis;
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1 Ortner N. Recurrent laryngeal nerve paralysis due to mitral valve stenosis. Wien Klin Wochenschr 1897;10:753-5.
2 Plastiras SC, Pamboucas C, Zafiriou T, Lazaris N, Toumanidis S. Ortner's syndrome: a multifactorial cardiovocal syndrome. Clin Cardiol 2010;33:E99-100.   DOI
3 Prada-Delgado O, Barge-Caballero E. Images in clinical medicine: Ortner's syndrome. N Engl J Med 2011;365:939.   DOI   ScienceOn
4 Gulel O, Koprulu D, Kucuksu Z, Yazici M, Cengel S. Images in cardiovascular medicine: cardiovocal syndrome associated with huge left atrium. Circulation 2007;115:e318-9.
5 Rubens F, Goldstein W, Hickey N, Dennie C, Keon W. Hoarseness secondary to left atrial myxoma. Chest 1989;95:1139-40.   DOI   ScienceOn
6 Kagal AE, Shenoy PN, Nair KG. Ortner's syndrome associated with primary pulmonary hypertension. J Postgrad Med 1975;21:91-5.
7 Nakao M, Sawayama T, Samukawa M, et al. Left recurrent laryngeal nerve palsy associated with primary pulmonary hypertension and patent ductus arteriosus. J Am Coll Cardiol 1985;5:788-92.   DOI
8 Ishimoto S, Ito K, Toyama M, et al. Vocal cord paralysis after surgery for thoracic aortic aneurysm. Chest 2002;121:1911-5.   DOI   ScienceOn
9 Escribano JF, Carnes J, Crespo MA, Anton RF. Ortner's syndrome and endoluminal treatment of a thoracic aortic aneurysm: a case report. Vasc Endovascular Surg 2006;40:75-8.   DOI   ScienceOn
10 Lee SI, Pyun SB, Jang DH. Dysphagia and hoarseness associated with painless aortic dissection: a rare case of cardiovocal syndrome. Dysphagia 2006;21:129-32.   DOI   ScienceOn
11 Albertini RE. Vocal cord paralysis associated with pulmonary emboli. Chest 1972;62:508-10.   DOI   ScienceOn
12 Victoria L, Graham SM, Karnell MP, Hoffman HT. Vocal fold paralysis secondary to cardiac countershock (cardioversion). J Voice 1999;13:414-6.   DOI   ScienceOn
13 Pai RK, Boyle NG, Child JS, Shivkumar K. Transient left recurrent laryngeal nerve palsy following catheter ablation of atrial fibrillation. Heart Rhythm 2005;2:182-4.   DOI   ScienceOn
14 Tewari P, Aggarwal SK. Combined left-sided recurrent laryngeal and phrenic nerve palsy after coronary artery operation. Ann Thorac Surg 1996;61:1721-2.   DOI   ScienceOn
15 Murty GE, Smith MC. Recurrent laryngeal nerve palsy following heartlung transplantation: three cases of vocal cord augmentation in the acute phase. J Laryngol Otol 1989;103:968-9.   DOI   ScienceOn
16 Solanki SV, Yajnik VH. Ortner's syndrome. Indian Heart J 1972;24:43-6.
17 Meyer E, Jonas NE, Zühlke LJ. Ortner syndrome. S Afr J Child Health 2008;2:170-1.
18 Ishii K, Adachi H, Tsubaki K, Ohta Y, Yamamoto M, Ino T. Evaluation of recurrent nerve paralysis due to thoracic aortic aneurysm and aneurysm repair. Laryngoscope 2004;114:2176-81   DOI   ScienceOn
19 Mulpuru SK, Vasavada BC, Punukollu GK, Patel AG. Cardiovocal syndrome: a systematic review. Heart Lung Circ 2008;17:1-4.   DOI   ScienceOn
20 Hartl DM, Travagli JP, Leboulleux S, Baudin E, Brasnu DF, Schlumberger M. Clinical review: current concepts in the management of unilateral recurrent laryngeal nerve paralysis after thyroid surgery. J Clin Endocrinol Metab 2005;90:3084-8.   DOI   ScienceOn