Síndrome de Ortner como causa de disfonía súbita, una etiología poco conocida

Introduction: Clinical case: A 77-year-old woman was admitted with symptoms of heart failure and sudden dysphonia. Imaging tests revealed a pericardial effusion and the existence of severe cardiomegaly at the expense of an aneurysmal left atrium. Pericardiocentesis was performed, with improvement in...

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Autores principales: Ramon y Cajal Calvo , Juan, Briceño Revillo, Jorge Miguel, Perez Abad, Laura, Vela Gajón , Pablo Luis, Pablo Luis, Pablo Luis
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2026
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/49266
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Sumario:Introduction: Clinical case: A 77-year-old woman was admitted with symptoms of heart failure and sudden dysphonia. Imaging tests revealed a pericardial effusion and the existence of severe cardiomegaly at the expense of an aneurysmal left atrium. Pericardiocentesis was performed, with improvement in the clinical picture of heart failure, although residual dysphonia persisted upon discharge. Discussion: Ortner syndrome or cardiovocal syndrome consists of paralysis of the left recurrent laryngeal nerve caused by a cardiovascular condition, usually and originally described by left atrial dilation in relation to rheumatic mitral valve disease. Early diagnosis can be useful to initiate immediate treatment and restore vocal cord function. Conclusion: When assessing possible causes of dysphonia, it is important to take into account the cardiac etiology, since despite the fact that this syndrome has a low prevalence, it is important to take it into account since its treatment requires multidisciplinary management.