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January 2009 Br J Cardiol 2009;16:47

Otner’s syndrome: the controversial cardiovocal syndrome

Hussain Al-Sardar

Abstract

Case report Figure 1. Echocardiogram showing dilated left atrium A female patient was admitted to our unit after the second repair of her mitral valve, with breathlessness and hoarseness about 10 days after the operation. Prior to the last revision she was in left ventricular failure due to severe paravalvular mitral regurgitation and, despite severe pulmonary hypertension and dilated left atrium (figure 1), she did not have any vocal symptoms prior to the operation. Ear, nose and throat examination revealed left vocal cord palsy with normal pharynx and larynx. During her stay her voice steadily improved. Discussion Cases have been reported s

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