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首页> 外文期刊>Italian Journal of Medicine >Ortner's syndrome: a rare case of cardiovocal hoarseness
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Ortner's syndrome: a rare case of cardiovocal hoarseness

机译：奥特纳氏综合症：罕见的心音嘶哑

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Introduction Ortner's syndrome, also known as cardiovocal syndrome, is a rare clinical entity with hoarseness due to left recurrent laryngeal nerve (RLN) palsy owing to a cardiovascular disease. Norbert Ortner ascribed hoarseness of voice RLN palsy in patients with several mitral stenosis, postulating that an enlarged left atrium could be responsible for the recurrent laryngeal nerve palsy. Case report A 63-year-old man with a history of progressive hoarseness of voice developed since over three months. Flexible laryngoscopy revealed a fixed left vocal cord in the paramedian position. The chest enhanced axial computed tomography confirmed a large left ventricular aneurysm. Conclusions Hoarseness has significant public health implications. Patients suffer from social deprivation, depression and a poor quality of life. Several underlying conditions are associated with the cardiovocal syndrome, including iatrogenic, congenital, mitral valve disorders, aortic and ventricular aneurysms. Laryngoscopy is indicated for the assessment of hoarseness if symptoms fail to improve or resolve within three months, or at any time when the clinician suspects a serious underlying disorder.
机译：简介Ortner综合征（也称为心脑血管综合征）是一种罕见的临床症状，由于心血管疾病导致左喉返神经（RLN）麻痹，导致声音嘶哑。诺伯特·奥尔特纳（Norbert Ortner）将RLN麻痹归因于患有二尖瓣狭窄的患者，并假设左心房扩大可能是喉返神经麻痹的原因。病例报告一名63岁的男子，自三个多月以来一直发展为声音嘶哑。灵活的喉镜检查显示在中位位置固定有左声带。胸部增强型轴向计算机断层扫描证实左室大动脉瘤。结论声音嘶哑具有重大的公共卫生影响。患者遭受社会剥夺，沮丧和生活质量低下的困扰。心血管疾病综合征与几种潜在疾病有关，包括医源性，先天性，二尖瓣疾病，主动脉和心室动脉瘤。如果症状在三个月内或临床医生怀疑是严重的基础疾病时仍无法改善或缓解，则应使用喉镜检查评估声音嘶哑。

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