Ortner syndrome

Last revised by Mostafa Elfeky on 11 Dec 2023

Citation, DOI, disclosures and article data

Citation:

Barras C, Elfeky M, Sharma R, et al. Ortner syndrome. Reference article, Radiopaedia.org (Accessed on 19 Apr 2024) https://doi.org/10.53347/rID-29441

DOI:

https://doi.org/10.53347/rID-29441

Permalink:

https://radiopaedia.org/articles/29441

rID:

29441

Article created:

25 May 2014, Christen Barras

Disclosures:

At the time the article was created Christen Barras had no recorded disclosures.

View Christen Barras's current disclosures

Last revised:

11 Dec 2023, Mostafa Elfeky ◉

Disclosures:

At the time the article was last revised Mostafa Elfeky had no financial relationships to ineligible companies to disclose.

View Mostafa Elfeky's current disclosures

Revisions:

15 times, by 10 contributors - see full revision history and disclosures

Systems:

Chest, Cardiac

Sections:

Syndromes

Synonyms:

Cardiovocal syndrome
Ortner's syndrome
Cardio-vocal syndrome

Ortner syndrome, also known as cardiovocal syndrome, is characterised by hoarse voice resulting from left recurrent laryngeal nerve palsy secondary to a cardiovascular disorder.

Pathology

Left recurrent laryngeal nerve palsy in this condition is due to traction or compression of the nerve between the thoracic aorta and pulmonary artery ^1-7. The left recurrent laryngeal nerve arises from the left vagus (X) nerve and passes underneath the aortic arch posterior to the ligamentum arteriosum before it ascends into the left tracheoesophageal groove to reach the larynx ⁸.

Aetiology

The original description of Ortner syndrome is due to a markedly distended left atrium secondary to mitral stenosis which has a reported incidence of 1.5% to 6% ⁷.

Other causes include ^1-7:

aortic pathologies (e.g. thoracic aortic aneurysm)
patent ductus arteriosus
atrial septal defect
ventricular septal defect
recurrent pulmonary embolism
Eisenmenger syndrome
primary pulmonary hypertension

History and etymology

It is named after Norbert Ortner (1865-1935), an Austrian physician ⁶.

References

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