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Ortner's Syndrome (Cardiovocal Syndrome): A Case Report
Pablo Arango Guerra1, Carolaine Ortega-Agamez2, Sebastian Naranjo-Restrepo3
1Internal Medicine, Universidad CES, Medellin, COL.
Cureus
|June 2, 2023
Summary
Ortner's syndrome, or cardiovocal syndrome, causes vocal cord paralysis due to heart conditions like dilated cardiomyopathy. Prompt diagnosis and treatment of the underlying cardiovascular issue are crucial for improving patient outcomes.
Area of Science:
- Cardiology
- Neurology
- Otolaryngology
Background:
- Ortner's syndrome, also known as cardiovocal syndrome, involves vocal cord paralysis stemming from cardiovascular disease.
- It typically results from the left recurrent laryngeal nerve being compressed by cardiac structures such as the pulmonary artery or left atrium.
Observation:
- A 65-year-old male patient presented with hoarseness.
- The patient had a history of idiopathic dilated cardiomyopathy.
- Clinical examination revealed left vocal cord palsy.
Findings:
- The patient's hoarseness and vocal cord palsy were attributed to Ortner's syndrome secondary to idiopathic dilated cardiomyopathy.
- Recurrent aspiration pneumonia is a known complication, potentially leading to significant morbidity and mortality.
Implications:
- Early identification and management of Ortner's syndrome are essential for a better prognosis.
- Addressing the underlying cardiovascular condition, when possible, can improve treatment efficacy.
- This case highlights the importance of considering cardiovocal syndrome in patients with cardiac disease and vocal changes.
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