AI Article Synopsis
- Rheumatic mitral stenosis is common in the region and can lead to various symptoms, including rare cases of hoarseness due to Ortner's syndrome.
- A 29-year-old woman experienced a 2-year history of voice hoarseness, which was linked to mitral stenosis and confirmed by echocardiography.
- After a successful percutaneous mitral balloon valvotomy in 1991, she regained her normal speech, highlighting advancements in treatment options that reduce complications from this condition.
Article 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-year-old 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.
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Source |
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3433978 | PMC |
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