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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/7545

Title: Hoarseness of voice in a patient with mitral stenosis and Ortner's syndrome
Authors: Mohamed, Abdul Latiff
Zain, Mollyza Mohd
Keywords: mitral stenosis, Ortner's syndrome, percutaneous transvenous mitral valvotomy
Issue Date: 31-Dec-2004
Publisher: School of Medical Sciences, Universiti Sains Malaysia
Citation: Malaysian Journal of Medical Sciences (ISSN: 1394-195X) Vol 11 Num 2
Abstract: Rheumatic mitral stenosis is prevalent in this part of the world and it gives rise to wide array of manifestations. However, hoarseness of voice secondary to recurrent laryngeal nerve paralysis (Ortner's syndrome) is an uncommon manifestation. This case illustrates an uncommon presentation in a common disease. A 29-yearold lady presented with a 2-year history of hoarseness of voice. Physical examination revealed a mid-diastolic murmur and left vocal cord paralysis. Echocardiography confirmed mitral stenosis with pulmonary hypertension. She underwent percutaneous mitral balloon valvotomy in 1991 with return of normal speech after a few months. The recurrent laryngeal nerve paralysis is mainly due to the compression by an enlarged pulmonary artery as initially thought. This complication is rarely seen nowadays due to greater awareness of the disease and earlier intervention. With the advent of percutaneous transvenous mitral valvotomy in the nineties, effective non-surgical intervention is plausible.
URI: http://hdl.handle.net/1807/7545
Other Identifiers: http://www.bioline.org.br/abstract?id=mj04022
Rights: Copyright 2004 - Malaysian Journal of Medical Science
Appears in Collections:Bioline International Legacy Collection

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