Ortner's Syndrome: A Comprehensive Review of Etiology, Clinical Presentation, and Management
Main Article Content
Abstract
Ortner's syndrome, also known as cardiovocal syndrome, is a rare clinical entity characterized by left recurrent laryngeal nerve palsy secondary to cardiovascular pathology. Initially described in the context of left atrial enlargement due to mitral stenosis, the syndrome has since been associated with various cardiac and thoracic abnormalities, including aortic aneurysms, pulmonary hypertension, and congenital heart defects. This review aims to provide an in-depth analysis of Ortner's syndrome, encompassing its etiological factors, pathophysiology, clinical manifestations, diagnostic approaches, and therapeutic strategies. We also discuss the historical evolution of the syndrome's understanding and highlight contemporary advancements in its diagnosis and management. Enhanced awareness and timely recognition of Ortner's syndrome are crucial for appropriate intervention and improved patient outcomes.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
I. O. Prada-Delgado, E. Barge-Caballero. Images in clinical medicine. Ortner's syndrome.
N Engl J Med, 365 (2011), pp. 939 http://dx.doi.org/10.1056/NEJMicm1014167
II. C. Herrera, R. Quilez, M.E. Castro, C. Canovas. Disfagia en el anciano. Rev Esp Geriatr Gerontol, 49 (2014), pp. 243-247
http://dx.doi.org/10.1016/j.regg.2014.02.001 | Medline
III. J.L. Elliot. Swallowing disorders in the elderly: A guide to diagnosis and treatment.
Geriatrics, 43 (1988), pp. 95-113
IV. S. Moral, L. Fernández-Friera, J. Sanz. Aurícula izquierda gigante evaluada mediante resonancia magnética. Rev Esp Cardiol, 64 (2011), pp. 232 http://dx.doi.org/10.1016/j.recesp.2009.12.002
V. M. Funk, M. Perez, O. Santana. Asymptomatic giant left atrium. Clin Cardiol, 33 (2010), pp. E104-E105 http://dx.doi.org/10.1002/clc.20736
VI. A. Shamsian, J. Abraham, A. Alani, M.J. Budoff. Giant left atrium in 72 year old male. Int J Cardiol, 24 (2014), pp. 347-348
VII. D.E. Dines, M.W. Anderson. Giant left atrium as a cause of dysphagia. Ann Intern Med, 65 (1966), pp. 758-760
VIII. A. Arifputera, G. Loo, P. Chang, P. Kojodjojo. An unusual case of dysphonia and dysphagia. Singapore Med J, 55 (2014), pp. E31-e33
http://dx.doi.org/10.11622/smedj.2013212
IX. A.A. Morgan, A.J. Mourant. Left vocal cord paralysis and dysphagia in mitral valve disease. Br Heart J, 43 (1980), pp. 470-473
X. F. Hornero Sos, F. Atienza Fernández, J.A. Montero Argudo, O. Gil Albarova, R. García Fuster, R. Paya Serrano, et al. Auriculectomía parcial izquierda en el tratamiento de la fibrilación auricular por valvulopatía mitral. Rev Esp Cardiol, 54 (2001), pp. 703-708