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Ortner syndrome due to concomitant mitral stenosis and bronchiectasis
A K M Monwarul Islam1, Shahana Zaman, Fatema Doza
1Department of Cardiology, National Institute of Cardiovascular Diseases, Dhaka, Bangladesh. drmonwarbd@yahoo.com
Korean Circulation Journal
|August 8, 2012
Summary
Ortner syndrome, a rare cardiovocal condition, links hoarseness to heart issues like mitral stenosis. Early diagnosis and treatment of the underlying cause, such as left recurrent laryngeal nerve compression, are crucial for better outcomes.
Area of Science:
- Cardiology
- Otolaryngology
- Pulmonology
Background:
- Ortner syndrome, or cardiovocal syndrome, is a rare condition linking hoarseness to cardiovascular disease.
- It typically results from left recurrent laryngeal nerve compression by cardiac structures like the pulmonary artery or left atrium.
- Recurrent aspiration pneumonia is a serious complication, increasing morbidity and mortality.
Purpose of the Study:
- To present a case of Ortner syndrome in a 35-year-old female.
- To highlight the challenges in managing dual pathologies: mitral stenosis and bronchiectasis.
- To emphasize the importance of early recognition and treatment for improving prognosis.
Main Methods:
- Case report of a 35-year-old female patient.
- Clinical evaluation of hoarseness of voice.
- Diagnostic workup for cardiovascular and pulmonary conditions, including mitral stenosis and bronchiectasis.
Main Results:
- The patient presented with hoarseness of voice.
- Associated cardiovascular pathology identified as mitral stenosis.
- Concurrent pulmonary condition of bronchiectasis was diagnosed.
- The dual pathology complicated the overall management strategy.
Conclusions:
- Ortner syndrome requires prompt recognition and management.
- The presence of combined mitral stenosis and bronchiectasis poses significant management difficulties.
- Addressing the underlying cause is critical for altering the prognosis of cardiovocal syndrome.
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