logo

Severe mitral regurgitation causing Ortner’s syndrome


Hannah Kempton, Lucy McGrath-Cadell, James Nadel, Justin Phan, Ning Song, Kate Kearney, Nicole Bart, Paul Jansz

Clinical Case

A 72-year-old man presented with sudden onset of hoarse voice. Laryngeal endoscopy revealed an immobile left vocal cord during phonation. His relevant cardiac background included non-ischaemic dilated cardiomyopathy. Transthoracic echocardiography revealed severe mitral regurgitation into a massive left atrium. The severe left atrial dilatation was found to be compressing the recurrent laryngeal nerve, causing vocal cord paralysis, or Ortner’s Syndrome. He underwent open mitral and aortic valve replacement, and tricuspid valvuloplasty. Post-operative echocardiogram demonstrated well functioning valve prostheses, though atrial dilatation persisted. Clinically, the patient’s hoarse voice persisted. He was referred for consideration for surgical correction of the vocal cord paralysis.

November, 2020
10.37912/WaggaJOM.0301.04

Subscribe to our newsletter

Latest Articles
Admin Editor,
December, 2024
Research
Cost-Effective Analysis of Inflammatory Bowel Disease Models of Care, A Rural Perspective
Dr Thomas Skinner, BSci, M.D. Dr Symret Singh, BCom M.D. , Dr Nishmi Gunasingam Introduction Unlike many chronic conditions, Inflammatory Bowel Disease (IBD) are often...
Admin Editor,
December, 2024
Research
Can artificial intelligence play a role in the analysis of non-gated, non-cardiac CT?
Jack Evans, Professor Joseph Suttie Abstract The rapid development of artificial intelligence (AI) has offered an opportunity to improve processing time and diagnostic accuracy of radiological images (1). Deep...
Admin Editor,
December, 2024
Research
Asthma Morbidity and its Association with Socioeconomic Status in the Australian Population
Dr. Matin Zohoori Niya, Dr. Joanne Hart, Dr. Rajneesh Kaur Background Asthma Australia reports that prevalence of asthma is highest among people living in the lowest socioeconomic areas. Studies...
Admin Editor,
December, 2024
Research
The Many Fronts of Heart Failure Monitoring – An Observational Study into Heart Failure Patients using Right Heart Catheterisation and Pulse Wave Analysis
Billy Poulden, Dr Audrey Adji, Professor Christopher Hayward Introduction Heart failure (HF) is a condition that occurs when a person’s heart is unable to pump enough blood to adequately...
Admin Editor,
December, 2024
Research
Outcomes of Telepsychiatry in Australia, a clinical review
Helen Devery and Peter Sheeran Introduction Use of telephone and videoconferencing technologies by psychiatrists is a frequently proposed solution to address lack of resourcing and staff shortages in regional...