Skip to main content Accessibility help
×
Home

Ortner's syndrome revisited

  • A. Sengupta (a1), S. P. Dubey (a2), D. Chaudhuri (a3), A. K. Sinha (a4) and P. Chakravarti (a3)...

Abstract

Hoarseness of voice due to paralysis of the left recurrent laryngeal nerve caused by a dilated left atrium in mitral stenosis as discussed by Ortner, is a subject of controversy. Different authors have cited different mechanisms as explanation. A variety of cardiac problems such as primary pulmonary hypertension, ischaemic heart disease, various congenital heart disorders can all lead to paralysis of the left recurrent laryngeal nerve. Most authors believe that pressure in the pulmonary artery causes the nerve compression. In Papua New Guinea cor pulmonale and rheumatic heart disease are the commonest cardiac disorders seen. Ortner's syndrome is a rarity and has never been reported from here before. Here three different case reports are presented with mitral stenosis, primary pulmonary hypertension and combined mitral stenosis and regurgitation and the pathogenesis of hoarseness is discussed.

Copyright

Corresponding author

Address for correspondence: S. P. Dubey, Post Box 3265, Boroko, National Capital District, Papua New Guinea. Fax: (675) 325 0342.

References

Hide All
Albertini, R. E. (1972) Vocal cord paralysis associated with pulmoary emboli. Chest 62: 508510.
Dolowitz, D. A., Lewis, C. S. (1948) Left vocal cord paralysis associated with cardiac disease. American Journal of Medicine 4: 856861.
Kagal, A. E., Shenoy, P. N., Nair, K. G. (1975) Ortner's syndrome associated with primary pulmonary hypertension. Journal of Postgraduate Medicine 21: 9195.
King, F. H., Hitzig, W. M., Fishberg, A. M. (1934) Recurrent laryngeal nerve paralysis in left ventricular failure. American Journal of Medical Science 188: 691697.
Ortner, N. (1897) Recurrenslahmung bei Mitralstenose. Wiener Klinische Wochenschrift 10: 753755.
Rosenberg, S. A. (1964) A study of etiological basis of primary pulmonary hypertension. American Heart Journal 68: 484489.
Stocker, H. H., Enterline, H. T. (1958) Cardiovocal syndrome: Laryngeal paralysis in intrinsic heart disease. American Heart Journal 56: 5159.
Talley, J. D., Fowler, K. (1936) Tetralogy of Fallot (Eisenmenger type) with hypoplasia of dextroposed aorta. American Journal of Medical Science 191: 618626.
Wilmshurst, P. T., Webb-Peploe, M. M., Corker, R. J. (1983) Left recurrent laryngeal nerve palsy associated with primary pulmonary hypertension and recurrent pulmonary embolism. British Heart Journal 49: 141143.

Keywords

Ortner's syndrome revisited

  • A. Sengupta (a1), S. P. Dubey (a2), D. Chaudhuri (a3), A. K. Sinha (a4) and P. Chakravarti (a3)...

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed