Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Song, David, Bayshtok, Sabina, Shah, Vaibhav, Jaiswal, Vikash, Seo, Angie, Rubinstein, David
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
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
_version_ 1785151855894986752
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
work_keys_str_mv AT songdavid ortnersyndromeasapresentingsymptomofseverechronicmitralregurgitationinheartfailureacasereport
AT bayshtoksabina ortnersyndromeasapresentingsymptomofseverechronicmitralregurgitationinheartfailureacasereport
AT shahvaibhav ortnersyndromeasapresentingsymptomofseverechronicmitralregurgitationinheartfailureacasereport
AT jaiswalvikash ortnersyndromeasapresentingsymptomofseverechronicmitralregurgitationinheartfailureacasereport
AT seoangie ortnersyndromeasapresentingsymptomofseverechronicmitralregurgitationinheartfailureacasereport
AT rubinsteindavid ortnersyndromeasapresentingsymptomofseverechronicmitralregurgitationinheartfailureacasereport