Sudden hoarseness in severe heart failure - Ortner's syndrome
Abstract
Introduction: All cardiological conditions that can lead to paralysis of the left or right half of the larynx fall under Ortner's syndrome.
Case Presentation: A 57-year-old patient was urgently admitted to the Cardiology Department due to difficulty breathing and clinical suspicion of heart failure. Urgent otolaryngological consultation was sought for a sensation of choking and hoarseness. Fiberoptic nasopharyngolaryngoscopy revealed restricted mobility of his left hemilarynx. Changes indicative of chronic heart failure were observed on the ECG. Computed tomography of the neck and chest with intravenous contrast confirmed cardiomegaly with mediastinal structure displacement.
Conclusion: Hoarseness can be an initial sign of a potentially lethal disease. Early recognition and treatment of the underlying cardiovascular condition are crucial for the patient's recovery. It is essential to emphasize that a dyspneic patient requires not only an otolaryngologist's examination but also a thorough cardiological assessment.
References
2. Subramaniam V., Herle Adarsha TV., Mohammed N., Thahir M. (2011) Ortner’s syndrome: Case series and literature review. Brazilian Journal of Otorhinolaryngology 77(5), 559–562.
3. Sandoval H, Carlos Zamora R, Gómez Carrasco JM, et al. (2014) BMJ Case Rep; Retrieved 10.09.2023 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4112344/
4. Ohi, K., Suzuki, J., Ikeda, R., Kakuta, R., Katori, Y. (2022) Cardiovocal Syndrome Associated With Idiopathic Pulmonary Arterial Hypertension: A Case Report and Literature Review. Cureus 14 (7)
5. Wang HW, Lu CC, Chao PZ, Lee FP. (2022) of Vocal Fold Paralysis. Ear Nose Throat J.;101(7), 294-298
6. Verma S, Talwar A, Talwar A. (2023). Ortner's syndrome: A systematic review of presentation, diagnosis and management. Intractable & Rare Diseases Research. 12(3), 141-147.
7. Tammiraju I., Krishna T. R., Prasad, P. V., Babu, K. J. (2018). Ortner’s syndrome (Cardio Vocal Hoarseness) – A rare entity in modern era. A case report. IHJ Cardiovascular Case Reports (CVCR), 2(2), 82–84.
8. Đurić M, Milisavljević M, Maliković A, et al Anatomija glave i vrata (2023) Medicinski fakultet Univerziteta u Beogradu CIBID, Beograd p.108
9. Politano S, Morell F, Calamari K, DeSilva B, Matrka L. (2021) Yield of Imaging to Evaluate Unilateral Vocal Fold Paralysis of Unknown Etiology. Laryngoscope. 131(8):1840-1844.
10. Stachler, R.J., Francis, D.O., Schwartz, S.R. et al. (2018), Clinical Practice Guideline: Hoarseness (Dysphonia) (Update). Otolaryngology–Head and Neck Surgery, 158: S1-S42.
11. Korean Society of Laryngology, Phoniatrics and Logopedics Guideline Task Force, Ryu, C. H., Kwon, T. K., Kim, H. et al (2020). Guidelines for the Management of Unilateral Vocal Fold Paralysis from the Korean Society of Laryngology, Phoniatrics and Logopedics. Clinical and experimental otorhinolaryngology, 13(4), 340–360
12. Arango Guerra, P., Ortega-Agamez, C.,Naranjo-Restrepo, S. (2023). Ortner’s Syndrome (Cardiovocal Syndrome): A Case Report. Cureus.
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