Zaki Syed Ahmed, Banur Dinesh
Department of Pediatrics, NMC Royal Hospital, Abu Dhabi, UAE.
Heart Views. 2020 Apr-Jun;21(2):118-120. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_120_19. Epub 2020 Jun 29.
Ortner's syndrome is a rare condition characterized by hoarseness of voice due to left recurrent laryngeal nerve (RLN) palsy in association with cardiovascular disease. We report two cases of congenital heart disease in infants presenting with Ortner's syndrome. We believe that the dilated pulmonary artery in the first case and the left atrial dilatation in the second case caused compression of the left RLN resulting in hoarseness of voice. After the corrective cardiac surgery, the voice of both the infants had normalized. Through this case report, we highlight that Ortner's syndrome is an important differential diagnosis of hoarseness of voice in infancy.
奥尔特纳综合征是一种罕见病症,其特征为因左喉返神经麻痹并伴有心血管疾病而导致声音嘶哑。我们报告两例患有奥尔特纳综合征的先天性心脏病婴儿病例。我们认为,第一例中扩张的肺动脉和第二例中左心房扩张导致左喉返神经受压,从而引起声音嘶哑。在进行心脏矫正手术后,两名婴儿的声音均恢复正常。通过本病例报告,我们强调奥尔特纳综合征是婴儿声音嘶哑的重要鉴别诊断。