Related Experiment Video
Updated: Jul 30, 2025
08:42
Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
3.5K
Cardio-vocal syndrome - How 'benign' condition can turn 'malignant'?
Raajkamal Dharmapuri Jayavelu1, Robin James Taylor1, Demeytri Ramnarase1
1Worcestershire acute NHS trust, Worcester, WR, UK.
Summary
Ortner's syndrome, or cardio-vocal syndrome, causes hoarseness due to enlarged heart chambers compressing a nerve. This study details two cases linked to atrial fibrillation and enlarged left atria, highlighting their outcomes.
Area of Science:
- Cardiology
- Neurology
- Otorhinolaryngology
Background:
- Cardio-vocal syndrome, also known as Ortner's syndrome, is characterized by hoarseness resulting from the compression of the left recurrent laryngeal nerve.
- This compression is typically caused by enlarged cardiac chambers or related structures.
Purpose of the Study:
- To present two clinical cases of Ortner's syndrome.
- To investigate the specific cause of left recurrent laryngeal nerve compression in these cases, focusing on atrial fibrillation and left atrial enlargement.
- To document the clinical outcomes of the presented cases.
Main Methods:
- Case report presentation.
- Clinical examination and diagnostic procedures to identify cardiac abnormalities and nerve compression.
- Review of patient outcomes.
Main Results:
- Two cases of Ortner's syndrome were identified.
- Atrial fibrillation was the underlying cause of left atrial enlargement in both cases.
- The enlarged left atria were found to be compressing the left recurrent laryngeal nerve, leading to hoarseness.
Conclusions:
- Atrial fibrillation can lead to Ortner's syndrome through left atrial enlargement and subsequent recurrent laryngeal nerve compression.
- Ortner's syndrome is a recognized, albeit uncommon, manifestation of cardiac pathology.
- Prompt diagnosis and management of the underlying cardiac condition are crucial for patient outcomes.
Related Concept Videos
01:29Cardiomyopathy III: Hypertrophic Cardiomyopathy
17
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
17
01:30Cardiomyopathy II: Dilated Cardiomyopathy
12
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
12
01:23Mitral Stenosis II: Clinical features and Diagnostic Tests
26
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
26
01:22Mitral Stenosis I: Introduction
19
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
19
01:21Larynx
1.7K
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
1.7K
01:29Cardiomyopathy V: Interprofessional Care
19
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
19