A rare cause for aphonia - Ortners syndrome


  • Punithakumar Ramasamy Department of Cardiothoracic and Vascular Surgery, Meenakshi Hospital, Thanjavur, Tamil Nadu
  • Suresh Babu Kale Department of Cardiothoracic and Vascular Surgery, Meenakshi Hospital, Thanjavur, Tamil Nadu
  • Senthilkumar Ramalingam Department of Cardiothoracic Anaesthesia, Meenakshi Hospital, Thanjavur, Tamil Nadu
  • Murugesan Veerappa Department of Cardiology, Rohini Hospital, Thanjavur, Tamil Nadu




Aphonia, Mitral stenosis, Ortner’s syndrome, Hoarseness, Left, Recurrent laryngeal nerve palsy


Rheumatic mitral stenosis is prevalent in the developing world and presents with a wide array of manifestations. Aphonia and hoarseness of voice secondary to recurrent laryngeal nerve paralysis (Ortner’s syndrome) is an uncommon manifestation of mitral stenosis. We present a case severe mitral stenosis with moderate to severe tricuspid valve regurgitation and severe pulmonary artery hypertension that was masquerading as aphonia and hoarseness of voice for eight months. Mitral valve replacement and tricuspid annuloplasty was done and the quality of voice improved post-surgery. 

Author Biography

Punithakumar Ramasamy, Department of Cardiothoracic and Vascular Surgery, Meenakshi Hospital, Thanjavur, Tamil Nadu



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