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Ortner syndrome as a presenting symptom of severe chronic mitral regurgitation in heart failure: A case report
Ortner's syndrome or cardiovocal syndrome is a clinical condition associated with hoarseness due to left recurrent laryngeal nerve palsy from compression of surrounding cardiovascular structures. Atrial enlargement, commonly caused by chronic mitral regurgitation (MR) may be a source of compres...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686862/ https://www.ncbi.nlm.nih.gov/pubmed/38044899 http://dx.doi.org/10.1016/j.radcr.2023.10.055 |
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author | Song, David Bayshtok, Sabina Shah, Vaibhav Jaiswal, Vikash Seo, Angie Rubinstein, David |
author_facet | Song, David Bayshtok, Sabina Shah, Vaibhav Jaiswal, Vikash Seo, Angie Rubinstein, David |
author_sort | Song, David |
collection | PubMed |
description | Ortner's syndrome or cardiovocal syndrome is a clinical condition associated with hoarseness due to left recurrent laryngeal nerve palsy from compression of surrounding cardiovascular structures. Atrial enlargement, commonly caused by chronic mitral regurgitation (MR) may be a source of compression. We present a case of a 53-year-old man with decompensated heart failure (HF) with a new onset of hoarseness. Chest radiograph showed cardiomegaly with evidence of fluid overload; transthoracic echocardiography showed bi-atrial enlargement secondary to severe chronic mitral regurgitation and moderate pulmonary hypertension. As a result, the diagnosis of Ortner's syndrome was made. For patients with new onset hoarseness with a history of severe cardiovascular disease, Ortner's syndrome should be considered and early initiation of therapy can help reduce the incidence. |
format | Online Article Text |
id | pubmed-10686862 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-106868622023-12-01 Ortner syndrome as a presenting symptom of severe chronic mitral regurgitation in heart failure: A case report Song, David Bayshtok, Sabina Shah, Vaibhav Jaiswal, Vikash Seo, Angie Rubinstein, David Radiol Case Rep Case Report Ortner's syndrome or cardiovocal syndrome is a clinical condition associated with hoarseness due to left recurrent laryngeal nerve palsy from compression of surrounding cardiovascular structures. Atrial enlargement, commonly caused by chronic mitral regurgitation (MR) may be a source of compression. We present a case of a 53-year-old man with decompensated heart failure (HF) with a new onset of hoarseness. Chest radiograph showed cardiomegaly with evidence of fluid overload; transthoracic echocardiography showed bi-atrial enlargement secondary to severe chronic mitral regurgitation and moderate pulmonary hypertension. As a result, the diagnosis of Ortner's syndrome was made. For patients with new onset hoarseness with a history of severe cardiovascular disease, Ortner's syndrome should be considered and early initiation of therapy can help reduce the incidence. Elsevier 2023-11-22 /pmc/articles/PMC10686862/ /pubmed/38044899 http://dx.doi.org/10.1016/j.radcr.2023.10.055 Text en © 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Case Report Song, David Bayshtok, Sabina Shah, Vaibhav Jaiswal, Vikash Seo, Angie Rubinstein, David Ortner syndrome as a presenting symptom of severe chronic mitral regurgitation in heart failure: A case report |
title | Ortner syndrome as a presenting symptom of severe chronic mitral regurgitation in heart failure: A case report |
title_full | Ortner syndrome as a presenting symptom of severe chronic mitral regurgitation in heart failure: A case report |
title_fullStr | Ortner syndrome as a presenting symptom of severe chronic mitral regurgitation in heart failure: A case report |
title_full_unstemmed | Ortner syndrome as a presenting symptom of severe chronic mitral regurgitation in heart failure: A case report |
title_short | Ortner syndrome as a presenting symptom of severe chronic mitral regurgitation in heart failure: A case report |
title_sort | ortner syndrome as a presenting symptom of severe chronic mitral regurgitation in heart failure: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10686862/ https://www.ncbi.nlm.nih.gov/pubmed/38044899 http://dx.doi.org/10.1016/j.radcr.2023.10.055 |
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