{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T18:20:56Z","timestamp":1783102856637,"version":"3.54.6"},"reference-count":13,"publisher":"Universidad Nacional de C\u00f3rdoba","issue":"2","license":[{"start":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T00:00:00Z","timestamp":1779321600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Fac Cien Med Univ Nac Cordoba"],"abstract":"<jats:p>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. \nDiscussion: 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.\n 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.<\/jats:p>","DOI":"10.31053\/1853.0605.v83.n2.49266","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T19:01:53Z","timestamp":1782846113000},"page":"e49266","source":"Crossref","is-referenced-by-count":0,"title":["S\u00edndrome de Ortner como causa de disfon\u00eda s\u00fabita, una etiolog\u00eda poco conocida","Ortner syndrome as a cause of sudden dysphonia, a little-known etiology","S\u00edndrome de Ortner como causa de disfonia s\u00fabita, uma etiologia pouco conhecida"],"prefix":"10.31053","volume":"83","author":[{"given":"Juan","family":"Ramon y Cajal Calvo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge Miguel","family":"Brice\u00f1o Revillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Perez Abad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo Luis","family":"Vela Gaj\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"12333","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1. Kheok SW, Salkade PR, Bangaragiri A, Koh NSY, Chen RC. Cardiovascular Hoarseness (Ortner's Syndrome): A Pictorial Review. Curr Probl Diagn Radiol. 2021 Sep-Oct;50(5):749-754. doi: 10.1067\/j.cpradiol.2020.09.015.","DOI":"10.1067\/j.cpradiol.2020.09.015"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"2. Madhuraj S, Gangadharan H, Manju R, Prakash A, Arasan SS, Krishnadas S, Kumar S. A Rare Cause of Ortner's Syndrome and a Case-Based Review of Literature. Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5338-5341. doi: 10.1007\/s12070-021-02521-z.","DOI":"10.1007\/s12070-021-02521-z"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"3. Verma S, Talwar A, Talwar A, Khan S, Krishnasastry KV, Talwar A. Ortner's syndrome: A systematic review of presentation, diagnosis and management. Intractable Rare Dis Res. 2023; 12(3): 141-7. doi: 10.5582\/irdr.2023.01047.","DOI":"10.5582\/irdr.2023.01047"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"4. Murillo-Deluquez M, McKee C, Collazos-Noriega M, Cua CL, Tobias JD. Ortner's Syndrome in an Infant With Congenital Heart Disease. J Med Cases. 2022; 13(7): 354-8. doi: 10.14740\/jmc3959.","DOI":"10.14740\/jmc3959"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"5. Mulpuru SK, Vasavada BC, Punukollu GK, Patel AG. Cardiovocal syndrome: a systematic review. Heart Lung Circ. 2008 Feb;17(1):1-4. doi: 10.1016\/j.hlc.2007.04.007.","DOI":"10.1016\/j.hlc.2007.04.007"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"6. Zhang Z, Feng H, Chen X, Li W. Ortner's syndrome secondary to thoracic aortic aneurysm: a case series. J Cardiothorac Surg. 2022; 17(1): 270. doi: 10.1186\/s13019-022-02023-1.","DOI":"10.1186\/s13019-022-02023-1"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"7. Tan TXZ, Balakrishnan T, Lam MHH, Chui YY, Cheng LTE. A case of hoarseness with acute back pain-cardiovocal syndrome revisited. J Radiol Case Rep. 2019;13(7):21-8. doi: 10.3941\/jrcr.v13i7.3580.","DOI":"10.3941\/jrcr.v13i7.3580"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"8. Kheok SW, Salkade PR, Bangaragiri A, Koh NSY, Chen RC. Cardiovascular Hoarseness (Ortner's Syndrome): A Pictorial Review. Curr Probl Diagn Radiol. 2021 Sep-Oct;50(5):749-754. doi: 10.1067\/j.cpradiol.2020.09.015.","DOI":"10.1067\/j.cpradiol.2020.09.015"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"9. Garg R, Singh A, Sawlani KK, Mishra AK. Hoarseness of voice as presenting complaint of idiopathic pulmonary arterial hypertension. Lung India 2017 Mar-Apr;; 34 (2):212-214. doi: 10.4103\/0970-2113.201304.","DOI":"10.4103\/0970-2113.201304"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"10. Alouazen O, Chetoui A, Meqor A, Amar AO, Rachidi SA. Ortner's syndrome: Hoarseness of voice revealing severe secondary pulmonary hypertension. Radiol Case Rep. 2024; 19(12): 6618-20. doi: 10.1016\/j.radcr.2024.09.074.","DOI":"10.1016\/j.radcr.2024.09.074"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"11. Madhuraj S, Gangadharan H, Manju R, Prakash A, Arasan SS, Krishnadas S, Kumar S. A Rare Cause of Ortner's Syndrome and a Case-Based Review of Literature. Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5338-5341. doi: 10.1007\/s12070-021-02521-z.","DOI":"10.1007\/s12070-021-02521-z"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"12. Al Kindi AH, Al Kindi FA, Al Abri QS, Al Kemyani NA. Ortner's syndrome: Cardiovocal syndrome caused by aortic arch pseudoaneurysm. J Saudi Heart Assoc. 2016; 28(4): 266-9. doi: 10.1016\/j.jsha.2016.02.006.","DOI":"10.1016\/j.jsha.2016.02.006"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"13. Renter\u00eda-Roa JA, Ton-Mazo CM, Cardona-Correa D, Piedrahita CA. 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