Ortner's syndrome in association with mitral valve prolapse

The case of an 83-year-old woman with a history of hypertension, valvular h eart disease, atrial fibrillation, and cardiomegaly is presented. The patie nt also had progressive hoarseness of her voice and intermittent dysphagia. Ear, nose, and throat examination revealed left vocal cord paralysis. Echo cardiography revealed severely dilated left (LA) and right atria (RA), mode rate mitral regurgitation, severe tricuspid regurgitation, and prolapse of both these valves. A review of literature of Ortner's or cardiovocal syndro me is presented. Ortner's syndrome due to mitral valve prolapse has not bee n reported previously.