Cardiovascular Hoarseness (Ortner's Syndrome): A Pictorial Review

Kheok, Si Wei; Salkade, Parag Ratnakar; Bangaragiri, Ajay; Koh, Natalie; Chen, Robert Chun

doi:10.1067/j.cpradiol.2020.09.015

Cited by 20 publications

(23 citation statements)

References 16 publications

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“… 14 Compression of the left recurrent laryngeal nerve can lead to hoarseness of voice, otherwise known as Ortner’s syndrome. 15 Compression of the oesophagus can lead to dysphagia, as in our case. Decompensated heart failure with volume overload can worsen the dysphagia.…”

Section: Discussionsupporting

confidence: 49%

A case report: cardiac dysphagia—a ghost of the past?

Deschepper

Devos

Depauw

2021

European Heart Journal - Case Reports

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Background Rheumatic heart disease has become rare in developed countries and physicians have grown unfamiliar with the disease and its clinical course. The mitral valve is most commonly affected leading to mitral regurgitation and/or stenosis. The chronic volume and/or pressure overload leads to atrial remodelling and enlargement, driving the development of atrial fibrillation and thromboembolic events. Case Summary A 87-year-old patient with a history of rheumatic mitral stenosis and mitral valve replacement was admitted to the neurology department for vertigo. A stroke was suspected and she underwent a transoesophageal echocardiogram which was complicated by dysphagia. Oesophageal manometry and CT revealed oesophagogastric junction outflow obstruction due to extrinsic compression by a giant left atrium. Discussion Dysphagia due to a giant left atrium is rare. Various diagnostic criteria exist and the prevalence thus depends on which criterium is used. It is mostly encountered in rheumatic mitral disease, although there are reports of non-rheumatic etiology. When the left atrium assumes giant proportions it can compress adjacent intrathoracic structures. Compression of the oesophagus can lead to dysphagia, as in our case. A transoesophageal echocardiogram in these cases is relatively contraindicated and should only be performed if there is considerable reason to believe that it may change patient management.

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Section: Discussionsupporting

confidence: 49%

A case report: cardiac dysphagia—a ghost of the past?

Deschepper

Devos

Depauw

2021

European Heart Journal - Case Reports

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“…En 1897 Norbert Ortner describió tres pacientes con crecimiento atrial izquierdo, por estenosis valvular mitral reumática, y disfonía secundaria a parálisis del nervio laríngeo recurrente izquierdo por compresión auricular 1 . En años recientes se han presentado casos sin crecimiento auricular ni estenosis valvular mitral, por lo que se propuso el término síndrome cardiovocal 2 para referirse a patologías cardiovasculares intrínsecas que producen parálisis del nervio y diferenciarlas de las causas extrínsecas.…”

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“…El nervio laríngeo recurrente inerva los músculos intrínsecos ipsilaterales de la laringe a excepción del músculo cricotiroideo, su parálisis condiciona que la cuerda vocal permanezca en posición paramediana produciendo síntomas insidiosos e inicialmente intermitentes. El más frecuente es la disfonía, que puede progresar hasta afonía, disnea durante el discurso y tos por broncoaspiración, especialmente con líquidos 2 , 3 . Otras manifestaciones se relacionan con la causa de la parálisis e incluyen: dolor torácico no anginoso, claudicación de miembros superiores, disfagia, disnea progresiva o síncopes, en casos de estenosis aórtica 2 , 4 .…”

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“…El más frecuente es la disfonía, que puede progresar hasta afonía, disnea durante el discurso y tos por broncoaspiración, especialmente con líquidos 2 , 3 . Otras manifestaciones se relacionan con la causa de la parálisis e incluyen: dolor torácico no anginoso, claudicación de miembros superiores, disfagia, disnea progresiva o síncopes, en casos de estenosis aórtica 2 , 4 .…”

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Síndrome de Ortner asociado a estenosis aórtica grave, reporte de caso y revisión de la literatura

Rentería-Roa¹,

Ton-Mazo²,

Cardona-Correa³

et al. 2022

ACM

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“…Ortner's syndrome is a rare cause of hoarseness due to palsy of the recurrent laryngeal nerve. 1) It is originally described by Ortner, and he described a case with left recurrent laryngeal nerve palsy caused by left atrial dilatation caused by mitral stenosis. This term is now used to describe recurrent laryngeal nerve palsy from cardiovascular causes.…”

mentioning

confidence: 99%