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Malaysian Journal of Medical Sciences
School of Medical Sciences, Universiti Sains Malaysia
ISSN: 1394-195X
Vol. 11, No. 2, 2004, pp. 65-68
Bioline Code: mj04022
Full paper language: English
Document type: Research Article
Document available free of charge

Malaysian Journal of Medical Sciences, Vol. 11, No. 2, 2004, pp. 65-68

 en CASE REPORT- HOARSENESS OF VOICE IN A PATIENT WITH MITRAL STENOSIS AND ORTNER'S SYNDROME
Abdul Latiff Mohamed, Mollyza Mohd Zain

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.

Keywords
mitral stenosis, Ortner's syndrome, percutaneous transvenous mitral valvotomy

 
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Alternative site location: http://www.medic.usm.my/publication/mjms/

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