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 compress...

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Bibliographic Details
Published in:Radiology case reports 2024-02, Vol.19 (2), p.509-512
Main Authors: Song, David, Bayshtok, Sabina, Shah, Vaibhav, Jaiswal, Vikash, Seo, Angie, Rubinstein, David
Format: Article
Language:English
Subjects:
Case Report
Hoarseness
Mitral regurgitation
Ortner Syndrome
Recurrent laryngeal nerve
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Summary: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 biatrial 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.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2023.10.055