Rheumatic mitral stenosis is prevalent in this part of the world, and it gives rise to a wide array of manifestations. Most patients with moderate to severe mitral will have some degree of left atrial enlargement due to chronic increases in left atrial pressures, predisposing them to atrial fibrillation and thromboembolic events. Left vocal cord palsy and dysphagia are uncommon complications. With a reduced incidence of mitral valve disease from rheumatic fever, the incidence of left atrial enlargement has also decreased. Ortner’s syndrome or Cardiovocal syndrome is characterized by hoarseness of voice which is caused by the paralysis of left recurrent laryngeal nerve as a result of cardiovascular causes.

Keywords: Mitral stenosis, Ortner's syndrome, vocal cord palsy, Cardiovocal syndrome, left atrial enlargement.

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Padma Guduri

GSL medical college, Rajanagaram, Rajahmundry 533296 Andhra Pradesh, India